Active NPI
Nicole Essley Clements, OTR
- Occupational Therapist
- Dallas, TX
National Provider Identifier
1528803111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 124666
- Practice address
- 3501 Junius St
Dallas, TX 75246-2021 - Phone
- (214) 820-2683
- NPI assigned
- Jun 26, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 124666 | TX | Primary |
Addresses
Primary practice location
3501 Junius St
Dallas, TX 75246-2021
Mailing address
13675 Noel Rd Apt 326
Dallas, TX 75240-4796
Phone (210) 240-4325
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 124666 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719360000000",
"number": "1528803111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13675 NOEL RD APT 326",
"city": "DALLAS",
"state": "TX",
"postal_code": "752404796",
"telephone_number": "210-240-4325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 JUNIUS ST",
"city": "DALLAS",
"state": "TX",
"postal_code": "752462021",
"telephone_number": "214-820-2683"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEMENTS",
"first_name": "NICOLE",
"middle_name": "ESSLEY",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-26",
"last_updated": "2024-06-26",
"certification_date": "2024-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "124666",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.