Individual provider Active NPI

Nicole Welch, OTR/L

  • Occupational Therapist
  • Mt Vernon, MO
National Provider Identifier
1922542638
Registry record updated Apr 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
201403204 Issued in MO
Practice address
1425 S Landrum St
Mt Vernon, MO 65712
Phone
(417) 466-2260
NPI assigned
Dec 14, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2014032104 MO
Occupational Therapist 225X00000X 201403204 MO Primary

Addresses

Primary practice location

1425 S Landrum St
Mt Vernon, MO 65712

Mailing address

1700 South Hudson Ave
Aurora, MO 65605
Phone (417) 678-2165

Other names 1

  • Ms. Nicole Bowers Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250410000851 MO Practitioner - Occupational Therapist in Private Practice 9032633102 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
201403204MOMDOccupational Therapist
2014032104MOMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bel Oak of Hudson House LLC Occupational Therapist CurrentSince Feb 1, 2025 Accepting new patients
Bel Oak of Hudson House LLC Occupational Therapist CurrentSince Feb 1, 2025 Accepting new patients

Locations

1700B S Hudson Ave
Aurora, MO 65605
Phone (417) 678-2169

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1481673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744243200000",
    "number": "1922542638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 SOUTH HUDSON AVE",
            "city": "AURORA",
            "state": "MO",
            "postal_code": "65605",
            "telephone_number": "417-678-2165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1425 S LANDRUM ST",
            "city": "MT VERNON",
            "state": "MO",
            "postal_code": "65712",
            "telephone_number": "417-466-2260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELCH",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-14",
        "last_updated": "2025-04-10",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2014032104",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "201403204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "BOWERS",
            "prefix": "MS.",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Mt Vernon, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; 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.