Elyse Nicolette, OTR
Occupational Therapist in Greenville, SC. Individual provider (NPI-1).
NPI number1235637133
StatusActive
Last updated in NPPESFeb 11, 2022
Details
- NPI
- 1235637133
- Entity type
- Individual (NPI-1)
- Name
- Elyse Nicolette
- Credential
- OTR
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 25, 2018
- Certification date
- Feb 11, 2022
- Last updated
- Feb 11, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 6350 | SC | Yes |
| 225X00000X | Occupational Therapist | 118832 | TX |
Practice location
29 N Academy StGreenville, SC 29601-2629
Phone 864-331-1350
Mailing address
300 E McBee AveGreenville, SC 29601-2842
Phone 864-522-8603
Other practice locations
8026 Fall River Dr
Dallas, TX 75228-5915
Dallas, TX 75228-5915
Phone 512-417-2230
15820 Addison Rd
Addison, TX 75001-3549
Addison, TX 75001-3549
Phone 214-575-2999
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 246 Occupational Therapist providers in Greenville · All 12,755 providers in Greenville
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