Nicole E Powels, MS OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

06621 Issued in MD

Practice address

Cecil County Public Schools
201 Booth Street
Elkton, MD 21921

Phone

(410) 996-5400

NPI assigned

Aug 18, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Nicole Elizabeth Keller Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1313625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1609156942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41 CORN CAKE ROW",
            "city": "COLORA",
            "state": "MD",
            "postal_code": "219171265",
            "telephone_number": "610-858-5208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "CECIL COUNTY PUBLIC SCHOOLS",
            "address_2": "201 BOOTH STREET",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "21921",
            "telephone_number": "410-996-5400"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4409 E West Hwy",
            "address_purpose": "LOCATION",
            "city": "Riverdale",
            "state": "MD",
            "postal_code": "207371058",
            "country_code": "US",
            "telephone_number": "301-985-3221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POWELS",
        "first_name": "NICOLE",
        "middle_name": "E",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-18",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "06621",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MD",
            "license": "06621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "KELLER",
            "middle_name": "ELIZABETH",
            "credential": "MS OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Pediatric Occupational Therapist in Elkton, MD
• Providers in Elkton, MD by specialty
• Pediatric Occupational Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2018; 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.