Denise E Nichols, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056005205 Issued in IL

Practice address

4920 E State St Ste 4
Rockford, IL 61108-2262

Phone

(815) 637-1100

Fax

(815) 637-1200

NPI assigned

Dec 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Motivate Health IncGroup PAC ID 0042468357, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Motivate Health Inc

  • Physical Therapy Clinic/Center
  • Rockford, IL
  • NPI 1184988735
  Medicare reassignment Care Compare group NPD Authorized official

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

{
    "created_epoch": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1467515783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4920 E STATE ST STE 4",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082262",
            "telephone_number": "815-637-1100",
            "fax_number": "815-637-1200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4920 E STATE ST STE 4",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611082262",
            "telephone_number": "815-637-1100",
            "fax_number": "815-637-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "DENISE",
        "middle_name": "E",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056005205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loan T Nguyen, D.M.D.
• Macklin Hong Phuoc Nguyen, MD
• Samson Nguyen, DPT
• Truong Nguyen, PHARMD
• Virginia Nguyen
• Sarah Ann Nickels
• Rachel Nicolai, PT
• Daniel Nicolay
• Maureen Elizabeth Nicolls, MSPT
• Francis J. Nicolosi, MD

• Occupational Therapist in Rockford, IL
• Providers in Rockford, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.