Nicole Elizabeth Brown

Individual provider Active NPI Occupational Therapy Assistant · Manhattan, KS

NPI 1477445930 · NPPES record last updated Jul 22, 2025

Key facts

NPI
1477445930
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
T-06348 (KS)
Practice address
4761 Tuttle Creek Blvd
Manhattan, KS 66502-9079
Phone
(785) 587-1825
Fax
(785) 596-6859
NPI assigned
Jul 18, 2025
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
T-06348KSMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
No Stone Unturned Foundation Current
since Jul 22, 2025
Accepting new patients

Locations

4761 Tuttle Creek Blvd
Manhattan, KS 66502
Phone (785) 587-1825

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X T-06348 KS Yes

Addresses

Primary practice location

4761 Tuttle Creek Blvd
Manhattan, KS 66502-9079

Mailing address

4565 Sunflower Slope Dr
Manhattan, KS 66502-1663
Phone (920) 238-7186

Other names

  • Nicole Bork Former name

Other providers in Manhattan, KS

All providers in Manhattan, KS · Occupational Therapy Assistant in Kansas

Sources for this page

Verify at the official NPI Registry.