Individual provider Active NPI

Patricia Ann Nicholes, OTR/CHT

  • Hand Occupational Therapist
  • Carle Place, NY
National Provider Identifier
1497867980
Registry record updated May 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
003719-1 Issued in NY
Practice address
346 Westbury Ave
Carle Place, NY 11514-1654
Phone
(516) 333-1481
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 003719-1 NY Primary

Addresses

Primary practice location

346 Westbury Ave
Carle Place, NY 11514-1654

Mailing address

346 Westbury Ave
Carle Place, NY 11514-1654
Phone (516) 333-1481

Other identifiers 1

IdentifierTypeStateIssuer
0453920001OtherNYNHIC PROVIDER ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050519000546 NY Practitioner - Occupational Therapist in Private Practice 8820039878 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
New York University School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1160 E Jericho Tpke
Suite 123
Huntington, NY 11743-5400
Phone (631) 547-3400

410 Lakeville Rd
Suite 303
New Hyde Park, NY 11042-1104
Phone (516) 321-7555

44 Saint Marks PL
New York, NY 10003-8118
Phone (212) 529-5966

Merit-based Incentive Payment System (MIPS)

Final score
77.16 of 100Reported as group
Quality
70
Improvement activities
40
Cost
78.87

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003719-1NYMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Hand in Hand Rehabilitation, OT, PC Hand CurrentSince Jun 2, 2005 Accepting new patients
Hand in Hand Rehabilitation, OT, PC CurrentSince Jun 2, 2005 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Hand CurrentSince Nov 11, 2013 Accepting new patients
Sports Physical Therapy Occupational Therapy and Rehabilitation Servic Hand CurrentSince Nov 11, 2013 Accepting new patients
Empire State Occupational Therapy PC Past Accepting new patients
Sports Physical Therapy of New York, P.C. Past Accepting new patients

Locations

346 Westbury Ave
Carle Place, NY 11514
Phone (516) 333-1481

9525 Queens Blvd
Ste 3D
Rego Park, NY 11374
Phone (718) 925-6212

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1273622400000",
    "number": "1497867980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "346 WESTBURY AVE",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141654",
            "telephone_number": "516-333-1481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "346 WESTBURY AVE",
            "city": "CARLE PLACE",
            "state": "NY",
            "postal_code": "115141654",
            "telephone_number": "516-333-1481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLES",
        "first_name": "PATRICIA",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR/CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NY",
            "license": "003719-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NHIC PROVIDER ID",
            "identifier": "0453920001",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Carle Place, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2010; 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.