Nicole Larose, MSR, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

3326 Issued in SC

Practice address

85 Vincent Dr # C
Mt Pleasant, SC 29464-4066

Phone

(843) 509-2642

NPI assigned

Dec 26, 2012

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

Practice roles

Locations

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.

• Bloom Children'S Therapy

  • Pediatric Occupational Therapist
  • Mt Pleasant, SC
  • NPI 1497159446

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1356480000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416009600000",
    "number": "1992041735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 HOUSTON NORTHCUTT BLVD",
            "address_2": "SUITE C-218",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294643488",
            "telephone_number": "843-509-2642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 VINCENT DR # C",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294644066",
            "telephone_number": "843-509-2642"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAROSE",
        "first_name": "NICOLE",
        "credential": "MSR, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-26",
        "last_updated": "2014-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "SC",
            "license": "3326",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lantana Psychiatry LLC
• Carolyn Hazel Larisey-Atkinson, FNPC
• Mary Anne Larkin, AU.D.
• Lisa Larkins
• Malissa Ann Laroche, PA-C
• Audra Larson, OTD, OTR/L
• Pamela Lee Laudino, OTR/L
• Kimberly Patricia Kyle Lawton-Fritz, LISW-CP
• Miranda Parsons Layton, LCSW-C, LISW-CP
• Rhonda Joyce Leach, DNP, WHNP-BC

• Pediatric Occupational Therapist in Mt Pleasant, SC
• Providers in Mt Pleasant, SC by specialty
• Pediatric Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2014; 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.