Nicole Otoole, MS, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

056-006810 Issued in IL

Practice address

4740 N Laporte Ave
Chicago, IL 60630-3801

Phone

(773) 426-9270

NPI assigned

May 16, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Nicole Basnight Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699982033",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4740 N LAPORTE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303801",
            "telephone_number": "773-426-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4740 N LAPORTE AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606303801",
            "telephone_number": "773-426-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OTOOLE",
        "first_name": "NICOLE",
        "credential": "MS, OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056-006810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BASNIGHT",
            "credential": "MS, OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Carmelthia Otis, RPH
• Thomson Campbell Otis, DPT
• Gladys Otito, PA
• Aytekin Oto
• Otolaryngology Associates SC
• Ahmad Otoom, MD
• Dorothy Otremba
• Amanda I Ott, DT
• Kelly Kay Ott, P.A.
• Allison Otte, APRN, CNP

• Pediatric Occupational Therapist in Chicago, IL
• Providers in Chicago, IL by specialty
• Pediatric Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.