Nicole Chabak, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

13866 Issued in MA

Practice address

336 Boston St
North Andover, MA 01845-6365

Phone

(978) 684-2106

Fax

(413) 206-7043

NPI assigned

May 17, 2023

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

Enrolled in MA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Healthy at Home Physical Therapy, LLCGroup PAC ID 7012324171, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Healthy at Home Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • North Andover, MA
  • NPI 1700461936
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1684281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1912698390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 CHARME RD",
            "city": "TEWKSBURY",
            "state": "MA",
            "postal_code": "018763204",
            "telephone_number": "978-604-9759"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 BOSTON ST",
            "city": "NORTH ANDOVER",
            "state": "MA",
            "postal_code": "018456365",
            "telephone_number": "978-684-2106",
            "fax_number": "413-206-7043"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHABAK",
        "first_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-17",
        "last_updated": "2023-05-17",
        "certification_date": "2023-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "13866",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Center for Psychiatric Medicine PC
• Ann D. Cerami, CNM
• Allison Cerretani, LMHC
• Mike Cerullo, LMT
• Christopher Cervantes, ATC
• Catherine Jane Chambers, MSN, FNP
• Rhiana Lee Champoux, COTAL
• Iris Chan, OTR/L
• Kenneth Kwok-Chun Chan, MD
• Mandy Chan, DMD

• Occupational Therapist in North Andover, MA
• Providers in North Andover, MA by specialty
• Occupational Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.