Individual provider Active NPI

Nicole Muriel, OTR/L

  • Occupational Therapist
  • New City, NY
National Provider Identifier
1700184355
Registry record updated Jan 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
020717 Issued in NY
Practice address
46 Radcliff Dr
New City, NY 10956-3641
Phone
(845) 474-2361
Fax
(845) 639-4007
NPI assigned
Mar 7, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 46TR00553700 NJ
Occupational Therapist 225X00000X 020717 NY Primary

Addresses

Primary practice location

46 Radcliff Dr
New City, NY 10956-3641

Mailing address

46 Radcliff Dr
New City, NY 10956-3641
Phone (845) 270-9977

Other practice location 1

12-15 Saddle River Rd
Fair Lawn, NJ 07410-5808
Phone (201) 797-0935

Other practice location 2

560 Hudson St
Ste 3-4
Hackensack, NJ 07601-6638
Phone (845) 474-2361

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, NJ2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161102001803 NY Practitioner - Occupational Therapist in Private Practice 0648558239 Reassigns benefits to 4 organizations
I20210128000089 NJ Practitioner - Occupational Therapist in Private Practice 0648558239

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

46 Radcliff Dr
New City, NY 10956-3641
Phone (845) 474-2361

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
46TR00553700NJMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
B Stern Physical Therapy P.C. Occupational Therapist CurrentSince Sep 1, 2016 Accepting new patients
Affinity Rehabilitation LLP CurrentSince Apr 1, 2017 Accepting new patients
Pivotal Performance Occupational Therapy PLLC Occupational Therapist CurrentSince Aug 9, 2019 Accepting new patients
Stern at Home Physical Therapy PC Occupational Therapist CurrentSince Apr 17, 2019 Accepting new patients
Genesis Medical Health PC Past Accepting new patients

Locations

3200 Bronx Blvd
Bronx, NY 10467
Phone (718) 515-9807

440 Beach 21st St
Far Rockaway, NY 11691
Phone (718) 327-5500

25 Robert Pitt Dr
Ste 109
Monsey, NY 10952
Phone (845) 625-2818

23 Robert Pitt Dr
Ste 110
Monsey, NY 10952

500 N Columbus Ave
Mount Vernon, NY 10552
Phone (914) 266-3796

167 Route 304
Ste 108
Nanuet, NY 10954
Phone (845) 337-6905

41 Lockwood Ave
New Rochelle, NY 10801
Phone (914) 576-1202

4 Medical Park Dr
Ste B
Pomona, NY 10970
Phone (845) 354-3131

2902 Upper Tibbits Ave
Troy, NY 12180
Phone (518) 273-2040

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1299456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610064000000",
    "number": "1700184355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 RADCLIFF DR",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563641",
            "telephone_number": "845-270-9977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 RADCLIFF DR",
            "city": "NEW CITY",
            "state": "NY",
            "postal_code": "109563641",
            "telephone_number": "845-474-2361",
            "fax_number": "845-639-4007"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12-15 Saddle River Rd",
            "address_purpose": "LOCATION",
            "city": "Fair Lawn",
            "state": "NJ",
            "postal_code": "074105808",
            "country_code": "US",
            "telephone_number": "201-797-0935",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "560 HUDSON ST",
            "address_2": "STE 3-4",
            "address_purpose": "LOCATION",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076016638",
            "country_code": "US",
            "telephone_number": "845-474-2361",
            "fax_number": "845-639-4007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MURIEL",
        "first_name": "NICOLE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-03-07",
        "last_updated": "2021-01-08",
        "certification_date": "2021-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00553700",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "020717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New City, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.