Active NPI
Nicholas Myers, COTA/L
- Occupational Therapy Assistant
- Louisville, KY
National Provider Identifier
1982129276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 170476
- Practice address
- 9700 Stonestreet Rd
Louisville, KY 40272-2884 - Phone
- (502) 995-6600
- NPI assigned
- Aug 8, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 170476 | KY | Primary |
Addresses
Primary practice location
9700 Stonestreet Rd
Louisville, KY 40272-2884
Mailing address
8616 Standing Oak Dr Apt 3
Louisville, KY 40258-1288
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 170476 | Medicaid | KY |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 170476 | KY | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502150400000",
"number": "1982129276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8616 STANDING OAK DR APT 3",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402581288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9700 STONESTREET RD",
"city": "LOUISVILLE",
"state": "KY",
"postal_code": "402722884",
"telephone_number": "502-995-6600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "NICHOLAS",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-08-08",
"last_updated": "2017-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "KY",
"license": "170476",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "170476",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Louisville, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.