Nicole Marie Rowold, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056009450 Issued in IL

Practice address

600 N College Ave
Geneseo, IL 61254-1099

Phone

(309) 944-9150

Fax

(309) 944-9259

NPI assigned

Sep 13, 2011

Last updated

May 20, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Miss Nicole Marie Cathelyn Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• St. Margaret's Hospital

  dba SMH Granville Clinic

  • Rural Health Clinic/Center
  • Granville, IL
  • NPI 1497318299
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1315872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716163200000",
    "number": "1871875138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 S STATE ST",
            "city": "GENESEO",
            "state": "IL",
            "postal_code": "612541929",
            "telephone_number": "309-489-6077",
            "fax_number": "309-944-9259"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 N COLLEGE AVE",
            "city": "GENESEO",
            "state": "IL",
            "postal_code": "612541099",
            "telephone_number": "309-944-9150",
            "fax_number": "309-944-9259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROWOLD",
        "first_name": "NICOLE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-13",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056009450",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "CATHELYN",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Amy Roberts
• Rock Valley Physical Therapy Center
• Rebecca Howard Rode, MS,OTR/L
• Abby Juanita Rodriguez, LMSW
• Jessica Marie Ropp, OTRL
• Jalyn April Salas
• Gabriela Santillan
• Joseph Thomas Sawyer
• Hailey Schoutteet
• Kyle R. Sellers, PT, DPT, CMT, OCS

• Occupational Therapist in Geneseo, IL
• Providers in Geneseo, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.