Individual provider Active NPI

Nicole Ann Porter, OTR/L

  • Occupational Therapist
  • Frankfort, KY
National Provider Identifier
1760076954
Registry record updated Feb 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
263659 Issued in KY
Practice address
122 Leonardwood Dr
Frankfort, KY 40601-4278
Phone
(502) 871-4004
NPI assigned
Feb 27, 2021
Last updated
Feb 27, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 263659 KY Primary

Addresses

Primary practice location

122 Leonardwood Dr
Frankfort, KY 40601-4278

Mailing address

122 Leonardwood Dr
Frankfort, KY 40601-4278
Phone (502) 871-4004

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210303003256 KY Practitioner - Occupational Therapist in Private Practice 4082020789 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6731TNMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Empowerme Rehabilitation Kentucky, LLC Occupational Therapist CurrentSince Mar 2, 2021 Accepting new patients
Empowerme Rehabilitation Kentucky, LLC CurrentSince Mar 2, 2021 Accepting new patients
Associates in Pediatric Therapy, LLC Occupational Therapist Past Accepting new patients

Locations

101 Isaac Greer Ct
Bardstown, KY 40004
Phone (502) 348-6214

3310 Tates Creek Rd
Lexington, KY 40502
Phone (859) 203-7899

8401 La Grange Rd
Lyndon, KY 40222
Phone (502) 234-5977

84 Utterback Rd
Murray, KY 42071
Phone (270) 759-8700

1001 Crossfield Dr
Versailles, KY 40383
Phone (859) 753-2000

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1614384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614384000000",
    "number": "1760076954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 LEONARDWOOD DR",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014278",
            "telephone_number": "502-871-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 LEONARDWOOD DR",
            "city": "FRANKFORT",
            "state": "KY",
            "postal_code": "406014278",
            "telephone_number": "502-871-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "NICOLE",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-27",
        "last_updated": "2021-02-27",
        "certification_date": "2021-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "263659",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.