Active NPI
Nicole Pryor, OTR/L
- Occupational Therapist
- Christiansburg, VA
National Provider Identifier
1770920092
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 0119005980
- Practice address
- 45 Cullen CT
Christiansburg, VA 24073-4144 - Phone
- (716) 553-1862
- NPI assigned
- May 28, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 0119005980 | VA | Primary |
| Occupational Therapist | 225X00000X | 017500 | NY |
Addresses
Primary practice location
45 Cullen CT
Christiansburg, VA 24073-4144
Mailing address
45 Cullen CT
Christiansburg, VA 24073-4144
Phone (716) 553-1862
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 017500 | NY | MD | Massage Therapist |
| 0119005980 | VA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1369699200000",
"number": "1770920092",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 CULLEN CT",
"city": "CHRISTIANSBURG",
"state": "VA",
"postal_code": "240734144",
"telephone_number": "716-553-1862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "45 CULLEN CT",
"city": "CHRISTIANSBURG",
"state": "VA",
"postal_code": "240734144",
"telephone_number": "716-553-1862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRYOR",
"first_name": "NICOLE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-28",
"last_updated": "2013-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "VA",
"license": "0119005980",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "017500",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Christiansburg, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.