Active NPI
Natalie Nicholson, COTA/L
- Occupational Therapy Assistant
- Miramar, FL
National Provider Identifier
1649909730
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 18967
- Practice address
- 1765 SW 89TH Way
Miramar, FL 33025-7610 - Phone
- (954) 394-9894
- NPI assigned
- Jun 6, 2022
- 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 Therapy Assistant | 224Z00000X | 18967 | FL | Primary |
Addresses
Primary practice location
1765 SW 89TH Way
Miramar, FL 33025-7610
Mailing address
1765 SW 89TH Way
Miramar, FL 33025-7610
Phone (954) 394-9894
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | VPN | Direct |
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 |
|---|---|---|---|
| 18967 | FL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654473600000",
"number": "1649909730",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1765 SW 89TH WAY",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330257610",
"telephone_number": "954-394-9894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1765 SW 89TH WAY",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330257610",
"telephone_number": "954-394-9894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NICHOLSON",
"first_name": "NATALIE",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-06-06",
"last_updated": "2022-06-06",
"certification_date": "2022-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "18967",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "VPN",
"affiliation": "N",
"endpointDescription": "Secure desktop",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1765 SW 89th Way",
"city": "Miramar",
"state": "FL",
"country_code": "US",
"postal_code": "330257610",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Miramar, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.