NICOLE MATHIS (NPI# 1619432036) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619432036 |
| Entity Type | Individual |
| Full Name | NICOLE MATHIS |
| Credential | OT |
| Practice Address |
207 E Meadow Rd Ste 3 Eden NC 27288-3469 |
| Mailing Address |
1200 Corporate Dr Ste 400 Birmingham AL 35242-5424 |
| Practice Telephone | 3366273771 |
| Practice Fax Number | 3366273777 |
| Mailing Telephone | 4236828840 |
| Mailing Fax Number | 4236022028 |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2019-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669904819 | Nicole Mathis | Student in an Organized Health Care Education/Training Program | 720 Westview Dr Sw, Morehouse School of Medicine/gme, Atlanta, GA 30310-1458 | 2017-03-28 |
| 1912377144 | Nicole Mathis | Occupational Therapist | 2601 Bransford Ave, Nashville, TN 37204-2811 | 2015-09-30 |
| 1306213111 | Nicole Lene' Mathis | Occupational Therapist | 7915 N 30th St, Omaha, NE 68112-2418 | 2015-08-27 |
| 1588058952 | Nicole Mathis | Case Manager/Care Coordinator | 4943 E 7th Ave, Tampa, FL 33605-4705 | 2015-03-24 |
| Street Address |
207 E MEADOW RD STE 3 |
| City | EDEN |
| State | NC |
| Zip Code | 27288-3469 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639781297 | Bailey Shea Scism | Pharmacist | 103 W Stadium Dr., Eden, NC 27288 | 2020-08-17 |
| 1538640628 | Donnell Corey Brown Jr. | Technician | 519 Orchard Drive, Eden, NC 27288 | 2018-08-27 |
| 1851728182 | Linda Mitchell | Physical Therapy Assistant | 114 E Kings Hwy, Eden, NC 27288 | 2013-10-01 |
| 1033341573 | Central State of The Carolinas, Inc. | Day Training, Developmentally Disabled Services | 229 Cedar St., Eden, NC 27288 | 2009-08-18 |
| 1114186483 | Enrich Cosmetic Center | Internal Medicine | 406 B Thompson St, Eden, NC 27288 | 2008-06-03 |
| 1265630891 | John R. Dabbs Jr. Dc PC | Preferred Provider Organization | 405 Boone Road, Eden, NC 27288 | 2007-07-05 |
| 1235283961 | James Harrison Eggleston | Dentist | 113 West Arbor Lane, Eden, NC 27288 | 2007-01-22 |
| 1962563940 | Barbara Collins Tanner | Nurse Practitioner | 134 North Pierce Street, Morehead High School Student Health Center, Eden, NC 27288 | 2006-12-13 |
| 1285690974 | Robert Maurice Vaughn | Chiropractor | 405 Boone Rd, Eden, NC 27288 | 2006-04-22 |
| 1619930666 | Direct Respiratory Services | Durable Medical Equipment & Medical Supplies | 302a North Pierce Street, Eden, NC 27288 | 2006-04-10 |
| Find all providers in zip 27288 | ||||
| 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 |
|---|---|---|---|---|
| 1821502303 | Krystal Watkins | Occupational Therapist | 525 Highland Park Dr Ste E, Eden, NC 27288-5063 | 2017-11-20 |
| 1922468578 | Joanne Ritz Keith | Occupational Therapist | 8935 Woodside Dr, Eden, NY 14057-1460 | 2016-02-24 |
| 1598174534 | Lindsay Norton | Occupational Therapist | 3033 Schoolview Rd, Eden, NY 14057 | 2014-08-04 |
| 1033420732 | Bruce Coral Richardson | Occupational Therapist | 272 Glenrobin Dr, Eden, NC 27288-8094 | 2010-06-28 |
| 1619067576 | Mary Clare Mccutcheon | Occupational Therapist | W3675 Sunny Rd, Eden, WI 53019-1259 | 2006-10-13 |
| 1487635934 | Larry Scott Maddy | Occupational Therapist | 257 W Kings Hwy, Eden, NC 27288-5009 | 2005-11-10 |
| 1336612894 | Erin Nicol | Occupational Therapist | 205 E Kings Hwy, Eden, NC 27288-5239 | 2019-01-08 |
| 1235685108 | Jay Kelly | Occupational Therapist | 205 E Kings Hwy, Eden, NC 27288-5239 | 2016-08-30 |
| 1164886834 | Trey Washington | Occupational Therapist | 117 E Kings Hwy, Eden, NC 27288-5201 | 2016-04-08 |
| 1629435920 | Felicia Lewis | Occupational Therapist | 205 E Kings Hwy, Eden, NC 27288-5239 | 2016-01-19 |
| Find all providers in EDEN | ||||
Please comment or provide details below to improve the information on NICOLE MATHIS.
| 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.