Nicole Anna Smallwood, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31007639A Issued in IN

Practice address

5651 E 30TH St Ste 219
Indianapolis, IN 46218-3368

Phone

(317) 297-9000

NPI assigned

Jan 11, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Progressive Care Solutions of in, LLC

  • Primary Care Clinic/Center
  • Greenfield, IN
  • NPI 1417583220
  NPD (past)

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

{
    "created_epoch": "1673395200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673395200000",
    "number": "1619681848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9245 HAWKINS RD APT 3D",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462163601",
            "telephone_number": "937-673-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 E 30TH ST STE 219",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462183368",
            "telephone_number": "317-297-9000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMALLWOOD",
        "first_name": "NICOLE",
        "middle_name": "ANNA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-11",
        "last_updated": "2023-01-11",
        "certification_date": "2023-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31007639A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Toni-Marie Small, DDS
• Whitney Small, BCBA
• Adam Robert Smalley, MD
• Audra Marie Smallwood, NP
• Erin Smallwood, CLC
• Paul Smart, MD
• Smarty Pants Daycare Inc
• Joseph W. Smedley, PH.D., LMHC
• Cade Christian Smelley, MD
• Janet Smeltzer

• Occupational Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2023; 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.