Individual provider Active NPI

Lauren Paige Nicola, OT

  • Occupational Therapist
  • Arlington, TX
National Provider Identifier
1801505128
Registry record updated Nov 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
123174 Issued in TX
Practice address
4501 Matlock Rd Ste 401
Arlington, TX 76018-1004
Phone
(972) 521-6173
Fax
(972) 338-9378
NPI assigned
Nov 15, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2022

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 123174 TX Primary

Addresses

Primary practice location

4501 Matlock Rd Ste 401
Arlington, TX 76018-1004

Mailing address

PO Box 852647
Richardson, TX 75085-2647
Phone (972) 454-9309

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

LicenseStateTypeSpecialty
123174TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synaptic Pediatric Therapies, LLC. CurrentSince Nov 20, 2022 Accepting new patients
Synaptic Pediatric Therapies, LLC. PastSince Nov 20, 2022 Accepting new patients

Locations

4501 Matlock Rd
Ste 401
Arlington, TX 76018
Phone (817) 375-5790

Organizations & group practices 2

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": "1668470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1801505128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 852647",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750852647",
            "telephone_number": "972-454-9309",
            "fax_number": "972-338-9378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 MATLOCK RD STE 401",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760181004",
            "telephone_number": "972-521-6173",
            "fax_number": "972-338-9378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICOLA",
        "first_name": "LAUREN",
        "middle_name": "PAIGE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-15",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "123174",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.