Nichole Ashley Dunbar, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OC011699 Issued in PA

Practice address

49 Green Creek LN
Glen Mills, PA 19342-1525

Phone

(484) 358-6875

NPI assigned

Feb 29, 2020

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1582934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582934400000",
    "number": "1487288304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 GREEN CREEK LN",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421525",
            "telephone_number": "484-358-6875"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 GREEN CREEK LN",
            "city": "GLEN MILLS",
            "state": "PA",
            "postal_code": "193421525",
            "telephone_number": "484-358-6875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1023 E Baltimore Pike Ste 303",
            "address_purpose": "LOCATION",
            "city": "Media",
            "state": "PA",
            "postal_code": "190635126",
            "country_code": "US",
            "telephone_number": "610-499-1600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUNBAR",
        "first_name": "NICHOLE",
        "middle_name": "ASHLEY",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-29",
        "last_updated": "2020-02-29",
        "certification_date": "2020-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "PA",
            "license": "OC011699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Doyle, LPC
• Caitlyn Drace, PA-C
• Michael Dreyer, MD
• Monica Duffy, COTA
• Morgan Dumont
• Nicholas Dundon, DPT
• Stacey Obrien Eadie, NP
• Raven Nicole Eberth, MD
• Patricia Carol Eckart, CRNP
• Lori Economos

• Occupational Therapist in Glen Mills, PA
• Providers in Glen Mills, PA by specialty
• Occupational Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2020; 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.