Nichole Woggon, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 15731 Issued in CA

Practice address

2100 Hermosa Ave Apt 8
Hermosa Beach, CA 90254-2853

Phone

(757) 297-1022

NPI assigned

Mar 21, 2017

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Summit Rehab Valley Corporation

  • Physical Therapist
  • Spokane Valley, WA
  • NPI 1932243425
  NPD (past)

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

{
    "created_epoch": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490054400000",
    "number": "1902337132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 HERMOSA AVE APT 8",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542853",
            "telephone_number": "757-297-1022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 HERMOSA AVE APT 8",
            "city": "HERMOSA BEACH",
            "state": "CA",
            "postal_code": "902542853",
            "telephone_number": "757-297-1022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOGGON",
        "first_name": "NICHOLE",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2017-03-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT 15731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie Ann Wensel Orbik, MA
• Jarrah Wertz
• Kyle White, BCABA
• Patric White, PHD LCSW
• Whitney Williams, PT
• Erica Audrey Wolitarsky, AMFT
• Carol Ellis Wood, LMFT
• Michelle A. Stich Woods, D.D.S.
• Wai-Ling Wu, BCBA
• Jessica A Wusterbarth, PA-C

• Occupational Therapist in Hermosa Beach, CA
• Providers in Hermosa Beach, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2017; 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.