NICOLE GORDON


Address: 5840 Interface Dr Ste 400, Ann Arbor, MI 48103-9176
Phone: 7346278001

NICOLE GORDON (NPI# 1154834604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1154834604
Entity Type Individual
Full Name NICOLE GORDON
Credential OTRL
Practice Address 5840 Interface Dr Ste 400
Ann Arbor
MI 48103-9176
Practice Telephone 7346278001
Practice Fax Number 7344331989
Mailing Telephone 7346278015
Enumeration Date 2017-11-07
Last Update Date 2017-11-07
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist 5201009989 MI Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Providers NICOLE GORDON

NPI Name Taxonomy Address Enumeration
1033719067 Nicole Lynn Gordon Home Health Aide 1013 W Semmes Ave, Osceola, AR 72370-2347 2020-10-28
1477192953 Nicole Denise Gordon Student in an Organized Health Care Education/Training Program 26 Bog Hill Rd, Weare, NH 03281-4200 2019-12-31
1871144535 Nicole Gordon Counselor 7609 W Rovey Ave, Glendale, AZ 85303-4250 2019-09-24
1609217447 Nicole Gordon Pharmacist 2352 Shire Way, Oakdale, CA 95361-8923 2013-07-09
1013123470 Nicole Thornton Gordon Dentist 691 Alderman Rd, Palm Harbor, FL 34683-2602 2007-05-15
1164636064 Nicole Marie Gordon Occupational Therapist 2611 Guthrie Ave N, Oakdale, MN 55128-3924 2007-05-09
1982686523 Nicole Michelle Gordon Internal Medicine 550 Peachtree St Ne Ste 1600, Atlanta, GA 30308-2246 2005-11-18
1750988333 Nicole Gordon Case Manager/Care Coordinator 1799 Stumpf Blvd Bldg 3, Terrytown, LA 70056-3950 2020-10-06
1720504376 Nicole Gordon Case Manager/Care Coordinator 555 Cincinnati-batavia Pike, Cincinnati, OH 45244 2017-08-16
1285166140 Nicole Gordon Student in an Organized Health Care Education/Training Program 4860 Y St, Ste 1600, Sacramento, CA 95817-2307 2017-03-30

Office Location

Street Address 5840 INTERFACE DR STE 400
City ANN ARBOR
State MI
Zip Code 48103-9176

Providers in the same location

NPI Name Taxonomy Address Enumeration
1649486275 Jane Elizabeth-lindsay Grimes Occupational Therapist 5840 Interface Dr Ste 400, Ann Arbor, MI 48103-9176 2007-05-14
1063047769 Maricella Alicia Gutierrez Occupational Therapist 5840 Interface Dr Ste 400, Ann Arbor, MI 48103-9176 2020-03-03
1487293486 Hope Morrow Occupational Therapist 5840 Interface Dr Ste 400, Ann Arbor, MI 48103-9176 2019-12-23
1588213706 Emily Jane Fleishman Occupational Therapist 5840 Interface Dr Ste 400, Ann Arbor, MI 48103-9176 2019-09-10
1346704319 Christine Ann Johnson Occupational Therapist 5840 Interface Dr Ste 400, Ann Arbor, MI 48103-9176 2019-01-24
1407332265 Nikki Rosen Occupational Therapist 5840 Interface Dr Ste 400, Ann Arbor, MI 48103-9176 2018-07-16
1992290738 Susan Tucker Speech-Language Pathologist 5840 Interface Dr Ste 400, Ann Arbor, MI 48103-9176 2018-06-25
1194212803 Lauren Oconnor Occupational Therapist 5840 Interface Dr Ste 400, Ann Arbor, MI 48103-9176 2018-04-18
1669969812 Kelli Weak Physical Therapist 5840 Interface Dr Ste 400, Ann Arbor, MI 48103 2018-04-13
1043727845 Jill Burress Occupational Therapist 5840 Interface Dr Ste 400, Ann Arbor, MI 48103-9176 2018-01-03
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1043839343 Melissa Sylvia Danan Rilko Social Worker 1775 Timber Trail, Ann Arbor, MI 48103 2020-04-16
1427602929 Ashwini Gulwadi, Pllc Psychiatry & Neurology 2100 S Main Street, Suite A, Unit 4, Ann Arbor, MI 48103 2019-08-01
1225593155 Brent Aaron Reeve Chiropractor 203 S. Zeeb Rd., Suite 106, Ann Arbor, MI 48103 2019-02-05
1548746779 Loren Camano Shkolnik Registered Nurse 3200 W Liberty Rd Ste C5, Ann Arbor, MI 48103 2018-07-11
1982193256 Jacob B Nienhuis Psychologist 4488 Jackson Rd Ste 7b, Ann Arbor, MI 48103 2018-05-02
1053818633 Regents of The University of Michigan Eyewear Supplier (Equipment, not the service) 380 Parkland Plz Ste 210, Ann Arbor, MI 48103 2018-04-10
1376052647 Shivika Verma Dentist 3071 Signature Blvd, Apartment #f, Ann Arbor, MI 48103 2017-09-29
1881118206 Harrison Udensi Igwe Clinic/Center 522 South Maple Stree, Ann Arbor, MI 48103 2017-07-27
1841727641 Kathleen Murphy Psychologist 4141 Woodland Drive, Ann Arbor, MI 48103 2017-05-11
1972037133 Jonathan Broek Dietitian, Registered 2920 Lakeview Dr, Ann Arbor, MI 48103 2017-04-14
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1487275483 Pt Solutions of Michigan LLC Occupational Therapist 2830 S Main St, Ann Arbor, MI 48103-5806 2020-04-30
1275183519 Melissa F Zimmerman Occupational Therapist 1399 Whispering Maples Ct, Ann Arbor, MI 48108-2492 2019-09-18
1033680384 Sandra E Pierani Occupational Therapist 1410 Fox Pointe Cir, Ann Arbor, MI 48108-8940 2018-12-16
1891290649 Paula Sue Kartje Occupational Therapist 355 Briarwood Cir # 4, Ann Arbor, MI 48108-1605 2018-03-26
1669974580 Camron Anthony Moorehead Occupational Therapist 400 E. Eisenhower Parkway Bldg 2, Ste A, Ann Arbor, MI 48108 2018-03-07
1134620883 Megan Lesch Park Occupational Therapist 325 E Eisenhower Pkwy # 3, Ann Arbor, MI 48108-3364 2018-02-27
1144721382 Amy Wilkins Occupational Therapist 2417 Darrow Dr, Ann Arbor, MI 48104-5205 2018-02-22
1578072633 Andrea Leigh Weid Occupational Therapist 612 Elmcrest St, Ann Arbor, MI 48103-3107 2017-09-21
1588100606 Theodore Pixley IIi Occupational Therapist 2390 Placid Way, Ann Arbor, MI 48105-1294 2017-01-12
1801260419 Elizabeth Jean Fox Barnard Occupational Therapist 3346 Beaumont Rd, Ann Arbor, MI 48105-9713 2015-11-19
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City ANN ARBOR
Zip Code 48103

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Dataset Information

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.

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