Nicole Ashley Perez, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00499800 Issued in NJ

Practice address

815 Broadway
Bayonne, NJ 07002-2919

Phone

(201) 823-6012

NPI assigned

Oct 19, 2010

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)

Not enrolled

State licenses

Practice roles

Locations

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.

• Lori Speaks, LLC

  dba Montclair Speech Therapy

  • Speech-Language Pathologist
  • Montclair, NJ
  • NPI 1932585593
  NPD

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700611200000",
    "number": "1629388970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 WATCHUNG PLZ",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "070424117",
            "telephone_number": "973-744-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 BROADWAY",
            "city": "BAYONNE",
            "state": "NJ",
            "postal_code": "070022919",
            "telephone_number": "201-823-6012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "NICOLE",
        "middle_name": "ASHLEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-19",
        "last_updated": "2023-11-22",
        "certification_date": "2023-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00499800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marco Antonio Pelosi II, MD
• Rosenna Davita Hinnant Pemberton, LPC
• Renee Eva Pena
• Peninsula Emergency Associates PA
• Peninsula Surgery Center, LLC
• Perfect Home Care
• Perfect Medical Transportation Inc
• Marina Perlov, MD
• Allison Perricone, PT, DPT
• Ruth Earlene Perry, M.D.

• Occupational Therapist in Bayonne, NJ
• Providers in Bayonne, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.