Nicole Lynn Bernholz, COTA/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

011280 Issued in NY

Practice address

3767 Delaware Ave
Kenmore, NY 14217-1040

Phone

(716) 864-6175

NPI assigned

Apr 3, 2023

Last updated

Apr 3, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1680480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680480000000",
    "number": "1942905658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 E SPRING ST APT 2A",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142215446",
            "telephone_number": "716-250-8570"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3767 DELAWARE AVE",
            "city": "KENMORE",
            "state": "NY",
            "postal_code": "142171040",
            "telephone_number": "716-864-6175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNHOLZ",
        "first_name": "NICOLE",
        "middle_name": "LYNN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-04-03",
        "last_updated": "2023-04-03",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "011280",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Aurea Noemi Benbenek, MS,OTR/L
• Bensons Surgical Supply Co., Inc.
• Seth Berchie
• Susan E Berg, SLP
• Christiana Marie Berge, MS, OTR/L
• Rebecca Romano Besch, MS, ATC, PES
• Tamanna Bhalla
• Sutanuka Bhattacharjya
• Leah Ann Bidtah, OTRL
• Heidi Billittier

• Pediatric Occupational Therapist in Kenmore, NY
• Providers in Kenmore, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2023; 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.