Active NPI
Nichole Rachelle Harder, COTA
- Occupational Therapy Assistant
- New Martinsville, WV
National Provider Identifier
1558085795
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- C2248
- Practice address
- 411 N State Route 2
New Martinsville, WV 26155-2711 - Phone
- (304) 455-5515
- NPI assigned
- Sep 30, 2022
- 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 Therapy Assistant | 224Z00000X | C2248 | WV | Primary |
Addresses
Primary practice location
411 N State Route 2
New Martinsville, WV 26155-2711
Mailing address
11 Birch Ave
Wheeling, WV 26003-5914
Phone (304) 243-1731
Other practice location 1
20 Wilson Dr
Cameron, WV 26033-2024
Phone (304) 686-3318
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | desktop/laptop |
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 |
|---|---|---|---|
| C2248 | WV | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wetzel County Homecare, LLC | Current | Accepting new patients |
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.
-
- Home Health Agency
- New Martinsville, WV
- NPI 1497959944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1664496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664496000000",
"number": "1558085795",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11 BIRCH AVE",
"city": "WHEELING",
"state": "WV",
"postal_code": "260035914",
"telephone_number": "304-243-1731"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "411 N STATE ROUTE 2",
"city": "NEW MARTINSVILLE",
"state": "WV",
"postal_code": "261552711",
"telephone_number": "304-455-5515"
}
],
"practiceLocations": [
{
"address_1": "20 Wilson Dr",
"address_purpose": "LOCATION",
"city": "Cameron",
"state": "WV",
"postal_code": "260332024",
"country_code": "US",
"telephone_number": "304-686-3318",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HARDER",
"first_name": "NICHOLE",
"middle_name": "RACHELLE",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-30",
"last_updated": "2022-09-30",
"certification_date": "2022-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "WV",
"license": "C2248",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "desktop/laptop",
"affiliation": "N",
"address_1": "411 N State Route 2",
"city": "New Martinsville",
"state": "WV",
"country_code": "US",
"postal_code": "261552711",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in New Martinsville, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.