Active NPI
Nichole Ann Oswald, MOT OTR
- Gerontology Occupational Therapist
- Beech Grove, IN
National Provider Identifier
1770800161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gerontology Occupational Therapist
- License
- 31004430A
- Practice address
- 501 N 17TH Ave
Beech Grove, IN 46107-1169 - Phone
- (317) 353-7007
- NPI assigned
- Apr 26, 2010
- Last updated
- Nov 13, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | 31004430A | IN | Primary |
Addresses
Primary practice location
501 N 17TH Ave
Beech Grove, IN 46107-1169
Mailing address
501 N 17TH Ave
Beech Grove, IN 46107-1169
Phone (317) 353-7007
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31004430A | IN | MD | Gerontology Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1272240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352764800000",
"number": "1770800161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N 17TH AVE",
"city": "BEECH GROVE",
"state": "IN",
"postal_code": "461071169",
"telephone_number": "317-353-7007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N 17TH AVE",
"city": "BEECH GROVE",
"state": "IN",
"postal_code": "461071169",
"telephone_number": "317-353-7007"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSWALD",
"first_name": "NICHOLE",
"middle_name": "ANN",
"credential": "MOT OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-04-26",
"last_updated": "2012-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "IN",
"license": "31004430A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Beech Grove, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.