Individual provider Active NPI

Nicolette Caroline Mapp, OTR/L

  • Occupational Therapist
  • Newark, DE
National Provider Identifier
1417461377
Registry record updated Nov 29, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OC015309 Issued in PA
Practice address
200 E Village Rd
Newark, DE 19713-3845
Phone
(302) 366-8100
NPI assigned
Nov 29, 2017
Last updated
Nov 29, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OC015309 PA Primary

Addresses

Primary practice location

200 E Village Rd
Newark, DE 19713-3845

Mailing address

910 Cherry St Apt 203
Philadelphia, PA 19107-2464
Phone (917) 648-6692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OC015309PAMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1511913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1417461377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "910 CHERRY ST APT 203",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191072464",
            "telephone_number": "917-648-6692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E VILLAGE RD",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197133845",
            "telephone_number": "302-366-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAPP",
        "first_name": "NICOLETTE",
        "middle_name": "CAROLINE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-29",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC015309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.