Individual provider Active NPI

Nikolle Margaret Van Stralen, OTR/L

  • Occupational Therapist
  • Bloomfield, NY
National Provider Identifier
1972280618
Registry record updated Jul 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
028078 Issued in NY
Practice address
3757 Footer Rd
Bloomfield, NY 14469-9756
Phone
(585) 319-9580
NPI assigned
Jul 4, 2023
Last updated
Jul 4, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 028078 NY Primary

Addresses

Primary practice location

3757 Footer Rd
Bloomfield, NY 14469-9756

Mailing address

3757 Footer Rd
Bloomfield, NY 14469-9756

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

State licenses

LicenseStateTypeSpecialty
028078NYMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1688428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688428800000",
    "number": "1972280618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3757 FOOTER RD",
            "city": "BLOOMFIELD",
            "state": "NY",
            "postal_code": "144699756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3757 FOOTER RD",
            "city": "BLOOMFIELD",
            "state": "NY",
            "postal_code": "144699756",
            "telephone_number": "585-319-9580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN STRALEN",
        "first_name": "NIKOLLE",
        "middle_name": "MARGARET",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-04",
        "last_updated": "2023-07-04",
        "certification_date": "2023-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "028078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomfield, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 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.