Bailey Nichols, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

216770 Issued in TX

Practice address

2001 Kirkwood Blvd
Southlake, TX 76092-1590

Phone

(817) 756-8600

NPI assigned

May 11, 2021

Last updated

May 11, 2021By the provider in NPPES

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": "1620691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620691200000",
    "number": "1750965018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 W RENNER RD APT 2326",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750801355",
            "telephone_number": "817-629-0053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2001 KIRKWOOD BLVD",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760921590",
            "telephone_number": "817-756-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLS",
        "first_name": "BAILEY",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-11",
        "last_updated": "2021-05-11",
        "certification_date": "2021-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TX",
            "license": "216770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melynda Nguyen, PHARMD
• Nicole Thuy-Nhi Nguyen
• Pauline Nguyen, ANP
• Son Thanh Nguyen, PHARMD
• Thuy Linh Nguyen
• David W Nichols, MD
• Nancy Nilson, LPC
• Rhonda Katherine Nipp, PT
• Noble Pain Management and Sports Medicine PLLC
• Ashley Harrison Noble, PSY.D.

• Occupational Therapy Assistant in Southlake, TX
• Providers in Southlake, TX by specialty
• Occupational Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2021; 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.