Individual provider Active NPI

Nichole Rachelle Harder, COTA

  • Occupational Therapy Assistant
  • New Martinsville, WV
National Provider Identifier
1558085795
Registry record updated Sep 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
C2248 Issued in WV
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

Updated by the provider on Sep 30, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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

LicenseStateTypeSpecialty
C2248WVMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wetzel County Homecare, LLC CurrentSince Oct 2, 2022 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.

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.

Verify at the official NPI Registry.