Active NPI
Nicole Marie McDonald, MS, OTR
- Pediatric Occupational Therapist
- Depew, NY
National Provider Identifier
1932531530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 018203
- Practice address
- 23 Ridgeway St
Depew, NY 14043-2429 - Phone
- (716) 913-2490
- NPI assigned
- Aug 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 018203 | NY | Primary |
Addresses
Primary practice location
23 Ridgeway St
Depew, NY 14043-2429
Mailing address
23 Ridgeway St
Depew, NY 14043-2429
Phone (716) 913-2490
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 018203 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375747200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757894400000",
"number": "1932531530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23 RIDGEWAY ST",
"city": "DEPEW",
"state": "NY",
"postal_code": "140432429",
"telephone_number": "716-913-2490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 RIDGEWAY ST",
"city": "DEPEW",
"state": "NY",
"postal_code": "140432429",
"telephone_number": "716-913-2490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDONALD",
"first_name": "NICOLE",
"middle_name": "MARIE",
"name_prefix": "Ms.",
"credential": "MS, OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-06",
"last_updated": "2025-09-15",
"certification_date": "2025-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "NY",
"license": "018203",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Depew, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.