Nicole Barbara Chase, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT15355 Issued in FL

Practice address

7902 NW 36TH St Ste 207
Doral, FL 33166

Phone

(786) 615-9879

NPI assigned

Oct 29, 2012

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1351468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1530748800000",
    "number": "1972857050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1545 NW 15TH STREET RD",
            "address_2": "APARTMENT 703",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331251612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7902 NW 36TH ST STE 207",
            "city": "DORAL",
            "state": "FL",
            "postal_code": "33166",
            "telephone_number": "786-615-9879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15042 SW 104th St",
            "address_2": "Apartment 1806",
            "address_purpose": "LOCATION",
            "city": "Miami",
            "state": "FL",
            "postal_code": "331963270",
            "country_code": "US",
            "telephone_number": "413-896-8627",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHASE",
        "first_name": "NICOLE",
        "middle_name": "BARBARA",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-10-29",
        "last_updated": "2018-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT15355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John A Chaquinga
• Jessica Charles
• Stanley Jean Charles
• Charlotte a Garzon D C P a (Doral Chiropractic Center)
• Tiffany Samantha Charlton, APRN
• Coralie Y Chavannes, OTR/L
• Angelica Chaves
• Mabel Chavez Pena, LMT
• Anthony Chavez
• Cecilia Ivonne Chavez, PHARMD

• Occupational Therapist in Doral, FL
• Providers in Doral, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2018; 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.