NICOLE ANDERSON (NPI# 1275074148) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275074148 |
| Entity Type | Individual |
| Full Name | NICOLE ANDERSON |
| Credential | OT |
| Practice Address |
2176 State Route 32 Modena NY 12548-5211 |
| Practice Telephone | 8455145557 |
| Mailing Telephone | 8455145557 |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2019-04-05 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 021282-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 1275074148 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376174367 | Nicole Anderson | Counselor | 189 Orange St Ste 380, New Haven, CT 06510-2014 | 2020-01-29 |
| 1386285567 | Nicole Anderson | Psychologist | 17100 Glenmount Park Dr Ste C, Webster, TX 77598-4368 | 2019-09-30 |
| 1558865923 | Nicole Anderson | Dental Hygienist | 144 Genesee St Ste 303, Auburn, NY 13021-3526 | 2018-03-21 |
| 1699275149 | Nicole S Anderson | Counselor | 6919 E 10th St Ste C, Indianapolis, IN 46219-4893 | 2018-02-20 |
| 1518479880 | Nicole Anderson | Registered Nurse | 5514 Aeriel Pl, Frederick, MD 21703-6555 | 2017-10-26 |
| 1578099214 | Nicole A Anderson | Physical Therapist | 260 Newport Center Dr Ste 502, Newport Beach, CA 92660-7520 | 2017-05-01 |
| 1093248528 | Nicole Anderson | Speech-Language Pathologist | 9907 Ne 124th St, Apt. 816, Kirkland, WA 98034-3752 | 2017-04-11 |
| 1063805869 | Nicole Anderson | Behavioral Analyst | 2105 E Park St, Cedar Park, TX 78613-4598 | 2015-03-18 |
| 1912305954 | Nicole Nichelle Anderson | Counselor | 3820 Kenzie Ct, Balch Springs, TX 75180-5011 | 2014-12-08 |
| 1487056198 | Nicole Anderson | Marriage & Family Therapist | 14751 Plaza Dr Ste E, Tustin, CA 92780-2773 | 2014-09-24 |
| Street Address |
2176 STATE ROUTE 32 |
| City | MODENA |
| State | NY |
| Zip Code | 12548-5211 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376804104 | Kristina Santos | Nurse Practitioner | 2044 State Route 32 Ste 4, Modena, NY 12548 | 2012-06-07 |
| 1346433802 | Peter T Burdash | Pharmacist | 2066 Rt 32, Modena, NY 12548 | 2007-08-19 |
| 1932390242 | Martins Foods of South Burlington LLC | Durable Medical Equipment & Medical Supplies | 2066 Route 32, Modena, NY 12548 | 2007-08-05 |
| 1912981044 | Modena Family Practice, PC | Family Medicine | 2044 Route 32, Suite 4, Modena, NY 12548 | 2005-12-01 |
| 1992190722 | Health Quest Medical Practice, PC | Family Medicine | 2044 Route 32, Suite4, Modena, NY 12548 | 2015-03-30 |
| 1255663845 | Michael Anson Jr. | Pharmacist | 2066 Route 32, Hannaford Food & Drug Pharmacy #8346, Modena, NY 12548 | 2010-02-05 |
| 1891023388 | John Wamsley | Pharmacist | 2066 Route 32, Modena, NY 12548 | 2009-11-23 |
| 1770518482 | Dawn M Dooley | Registered Nurse | 2044 Route 32, Suite 4, Modena, NY 12548 | 2006-07-11 |
| 1912938440 | Ronald G Hutchinson | Family Medicine | 2044 Route 32, Suite 4, Modena, NY 12548 | 2006-07-05 |
| 1447234604 | Francis C Mayle IIi | Family Medicine | 2044 Route 32, Suite 4, Modena, NY 12548 | 2005-12-01 |
| Find all providers in zip 12548 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952368 | Dimitry Gomberg | Occupational Therapist | 320 W 31st St, New York, NY 10001-2705 | 2020-11-06 |
| 1689275737 | Emily Christine Olander | Occupational Therapist | 9 Beech Dr, Painted Post, NY 14870-9090 | 2020-11-05 |
| 1588265698 | Kimberly Berganza | Occupational Therapist | 147 Parkdale Dr, North Babylon, NY 11703-3416 | 2020-11-04 |
| 1699376798 | Emily Anne Clark | Occupational Therapist | 3579 Bayview St, Seaford, NY 11783-3316 | 2020-11-04 |
| 1144821489 | Gabrielle Alyn Mcrae | Occupational Therapist | 348 Marshall Dr S Apt 3b, Brooklyn, NY 11209-8534 | 2020-11-03 |
| 1720689342 | Tamara Hirschler | Occupational Therapist | 146 Beach 9th St Apt 8b, Far Rockaway, NY 11691-5628 | 2020-11-02 |
| 1174123913 | Be The Change Occcupational Therapy PC | Occupational Therapist | Garden of Eden Home for Adults (ot/pt Office), 1608 Stillwell Ave, Brooklyn, NY 11223 | 2020-10-30 |
| 1588263065 | Katherine Ann Gaeta | Occupational Therapist | 600 Woodrow Rd, Staten Island, NY 10312-1230 | 2020-10-26 |
| 1710586292 | Isha Iyer | Occupational Therapist | 1013 Union St Apt 2, Brooklyn, NY 11225-1104 | 2020-10-26 |
| 1194325621 | Rosanne Lei | Occupational Therapist | 2447 E 12th St Fl 1, Brooklyn, NY 11235-5019 | 2020-10-26 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.