Active NPI
Nicole Katherine Eustace, OTR/L
- Occupational Therapist
- Stoneham, MA
National Provider Identifier
1568367118
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 36601
- Practice address
- 5 Theresa Rd
Stoneham, MA 02180-1349 - Phone
- (781) 888-2622
- NPI assigned
- Oct 13, 2026
- Last updated
- Oct 13, 2026
- 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 | 36601 | MA | Primary |
Addresses
Primary practice location
5 Theresa Rd
Stoneham, MA 02180-1349
Mailing address
5 Theresa Rd
Stoneham, MA 02180-1349
Phone (781) 888-2622
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1791849600000",
"number": "1568367118",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 THERESA RD",
"city": "STONEHAM",
"state": "MA",
"postal_code": "021801349",
"telephone_number": "781-888-2622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 THERESA RD",
"city": "STONEHAM",
"state": "MA",
"postal_code": "021801349",
"telephone_number": "781-888-2622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EUSTACE",
"first_name": "NICOLE",
"middle_name": "KATHERINE",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-10-13",
"last_updated": "2026-10-13",
"certification_date": "2026-10-13",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "36601",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stoneham, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.