Nicole D Kutch, OTR/L, CHT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

8140 Issued in AZ

Practice address

300 W Clarendon Ave Ste 285
Phoenix, AZ 85013-3474

Phone

(602) 279-6905

Fax

(602) 279-6934

NPI assigned

Oct 18, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Elite Physical Therapy Group II LLC

  • Physical Therapy Clinic/Center
  • Alexandria, LA
  • NPI 1649859927
  NPD (past)
• Tri-State Physical Therapy #4 Inc

  • Physical Therapy Clinic/Center
  • Bossier City, LA
  • NPI 1750332987
  NPD (past)
• Tri-State Physical Therapy #6 Inc

  • Physical Therapy Clinic/Center
  • Shreveport, LA
  • NPI 1053362202
  NPD (past)
• Tri-State Physical Therapy Number 1 Inc

  • Physical Therapy Clinic/Center
  • Shreveport, LA
  • NPI 1326099540
  NPD (past)

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1972684603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE STE 285",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133474",
            "telephone_number": "602-279-6905",
            "fax_number": "602-279-6934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W CLARENDON AVE STE 285",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850133474",
            "telephone_number": "602-279-6905",
            "fax_number": "602-279-6934"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "101 3rd Ave SW",
            "address_purpose": "LOCATION",
            "city": "Minot",
            "state": "ND",
            "postal_code": "587013880",
            "country_code": "US",
            "telephone_number": "701-857-5286",
            "fax_number": "701-857-5694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KUTCH",
        "first_name": "NICOLE",
        "middle_name": "D",
        "credential": "OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-18",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "LA",
            "license": "Z12164",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "LA",
            "license": "Z12164",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "ND",
            "license": "720",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "8140",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jared Kusma, MD
• Brett Michael Kusmit, RPA/RA
• Sharon Kusne, CRNP
• Shimon Kusne, M.D.
• Patrycja Kuszka, PA-C
• Mary Jo Foa Kutler, D.O.
• Richard Alan Kutt, RKT
• Wendy S Kutz, LCSW
• Eddie Leelove Kuykendall III, COTA
• Adam Jeremiah Kuzmiak, CRNA

• Occupational Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2020; 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.