Individual provider Active NPI

Nicole Nugent, MSOT, OTR/L

  • Occupational Therapist
  • Towson, MD
National Provider Identifier
1821750290
Registry record updated Oct 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
09427 Issued in MD
Practice address
6901 N Charles St
Towson, MD 21204-3780
Phone
(403) 809-4554
NPI assigned
Oct 12, 2021
Last updated
Oct 12, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 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 09427 MD Primary

Addresses

Primary practice location

6901 N Charles St
Towson, MD 21204-3780

Mailing address

125 Hart St
Clark, NJ 07066-2552
Phone (908) 917-7289

Other identifiers 1

IdentifierTypeStateIssuer
N91335917160976OtherNJDRIVERS LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nnugent@bcps.org

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221220000124 NJ Practitioner - Occupational Therapist in Private Practice 7810366556 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
09427MDMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Baltimore County Public Schools CurrentSince Oct 31, 2021 Accepting new patients
Garden State Physical Therapy Group PC CurrentSince Nov 22, 2022 Accepting new patients
Baltimore County Deparment of Health PastSince Oct 17, 2021 Accepting new patients

Locations

6901 N Charles St
Towson, MD 21204
Phone (443) 809-4130

77 Schanck Rd
Ste B-17
Freehold, NJ 07728
Phone (201) 871-4000

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": "1633996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633996800000",
    "number": "1821750290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 HART ST",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070662552",
            "telephone_number": "908-917-7289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6901 N CHARLES ST",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212043780",
            "telephone_number": "403-809-4554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NUGENT",
        "first_name": "NICOLE",
        "credential": "MSOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-12",
        "last_updated": "2021-10-12",
        "certification_date": "2021-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MD",
            "license": "09427",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "N91335917160976",
            "state": "NJ"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nnugent@bcps.org",
            "affiliation": "N",
            "endpointDescription": "School Issued Email",
            "address_1": "6901 N Charles St",
            "city": "Towson",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212043780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.