Active NPI
Alicia Marie Nichols, MOT
- Pediatric Occupational Therapist
- Norway, ME
National Provider Identifier
1609367069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- TO3489
- Practice address
- 28 Winter St
Norway, ME 04268-5653 - Phone
- (207) 739-2021
- NPI assigned
- May 22, 2018
- 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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | TO3489 | ME | Primary |
Addresses
Primary practice location
28 Winter St
Norway, ME 04268-5653
Mailing address
5 Diner Dr Ste 49
Scarborough, ME 04074-3202
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 |
|---|---|---|---|
| TO3489 | ME | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526947200000",
"number": "1609367069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5 DINER DR STE 49",
"city": "SCARBOROUGH",
"state": "ME",
"postal_code": "040743202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "28 WINTER ST",
"city": "NORWAY",
"state": "ME",
"postal_code": "042685653",
"telephone_number": "207-739-2021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLS",
"first_name": "ALICIA",
"middle_name": "MARIE",
"credential": "MOT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-22",
"last_updated": "2018-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "ME",
"license": "TO3489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norway, ME
- Robert C Neilson, DO
- Richard E. Nero, M.A., CCC-SLP
- New Communities, Inc. (DD Services)
- New Communities, Inc.
- Katherine F Newcomb, C.R.N.A.
- Andrea J Nichols, CADC
- Debra J Nichols, PNP
- Brian Michael Nolan, MD
- O.T. to Play (O.T. to Learn)
- Occupational Health Centers of the Southwest P.a. (Concentra Medical Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 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.