Nicole Coghlan, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119006844 Issued in VA

Practice address

3821 Wilson Blvd
Arlington, VA 22203-1981

Phone

(703) 294-6875

NPI assigned

Apr 4, 2018

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

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

{
    "created_epoch": "1522800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1659877009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 ARMY NAVY DR APT 313",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222022009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3821 WILSON BLVD",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222031981",
            "telephone_number": "703-294-6875"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COGHLAN",
        "first_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-04",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119006844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Clough, PHYSICIAN ASSISTANT
• Julie Clouse, M.S., CCC-SLP
• CMB Holdings
• CNS Dental
• Natalie Grace Cocozza
• Kelly C Cohen, OTR/L
• Laura J Cohen, PHD, PT, ATP
• Sylvie Israel Cohen, M.D., M.P.H.
• Michael Colasanto, DDS
• Kimberley Dawn Cole, SLP

• Occupational Therapist in Arlington, VA
• Providers in Arlington, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 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.