Brittany Paige Nickelson, MOT, OTR/L
Individual provider Active NPI Occupational Therapist · Mountain View, MO
NPI 1861022709 · NPPES record last updated Nov 27, 2023
Key facts
- NPI
- 1861022709
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 2019037262 (MO)
- Practice address
- 100 W US Highway 60
Mountain View, MO 65548-8542 - Phone
- (417) 934-7050
- Fax
- (417) 934-7151
- NPI assigned
- Jan 20, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2019037262 | MO | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2019037262 | MO | Yes |
Addresses
Primary practice location
100 W US Highway 60
Mountain View, MO 65548-8542
Mailing address
703 Kaitlin Dr
Mountain View, MO 65548-8487
Phone (573) 300-8207
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2019037262 | Other | MO | MISSOURI LICENSURE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | brittany.nickelson@mercy.net | Direct | Mercy St. Francis Hospital |
Other providers in Mountain View, MO
- Mercy Hospital Springfield
- Mercy St Francis Hospital
- Mercy St. Francis Hospital
- Mercy St. Francis Hospital
- Mountain View-Birch Tree School Dist R 3
- Brett Catherine Niehaus
- Lydia Rose Orr
- Crystal Dawn Phipps
- Amanda Pyrlik
- Qasim M. Bajwa, LLC
All providers in Mountain View, MO · Occupational Therapist in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.