Active NPIIndividual provider

Nicole Tully, OTR

Occupational Therapist in Burlington Township, New Jersey

NPI Number1932481157
Practice location
902 Jacksonville RD, Burlington Township, NJ 08016-3814
Fax
—
Last updated
May 18, 2015

Nicole Tully is an Occupational Therapist based in Burlington Township, NJ. Nicole Tully practices in Burlington Township, NJ and has the professional credentials of OTR. The NPI Number for Nicole Tully is 1932481157 and holds a License No. 46TR00567000 (NJ). The current practice location address for Nicole Tully is 902 Jacksonville RD, Burlington Township, NJ 08016-3814 and can be reached out via phone at 609-239-3894.

Provider Profile Details

NPI Number
1932481157
Provider Name
Nicole Tully
Credential
OTR
Provider Entity Type
Individual
Gender
Female
Address
902 Jacksonville RD, Burlington Township, NJ 08016-3814
Phone Number
609-239-3894
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
September 14, 2011
Last Update Date
May 18, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
902 Jacksonville RD
Burlington Township, NJ 08016-3814
Zip
08016-3814
Phone Number
609-239-3894
Burlington Township, NJ 08016Get directions →

Provider Business Mailing Address Details

Address
63 2ND Ave
Roebling, NJ 08554-1001
City
Roebling
State
NJ
Zip
08554-1001
Phone Number
609-440-7097

License Information

License Number (1)
46TR00567000
License State (1)
NJ
Taxonomy (1)
Occupational Therapist · 225X00000X · Primary
License Number (2)
OC012017
License State (2)
PA
Taxonomy (2)
Occupational Therapist · 225X00000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Nicole Tully, OTR?

The NPI number of Nicole Tully, OTR is 1932481157. It was assigned on September 14, 2011 and is currently active in the NPPES registry.

What is the specialty of Nicole Tully, OTR?

Nicole Tully, OTR is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in NJ under license number 46TR00567000.

Where does Nicole Tully, OTR practice?

The practice location is 902 Jacksonville RD, Burlington Township, NJ 08016-3814. The office can be reached at 609-239-3894 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1932481157 directly on the NPPES registry website.

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