MISS NICOLE JACQUELINE TIRELLI
NPI 1013684026
Occupational Therapist in Goshen, NY

Active since August 26, 2021
103 GIBSON RD, GOSHEN, NY 10924(845) 492-0230 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Miss Nicole Jacqueline Tirelli NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MISS NICOLE JACQUELINE TIRELLI (NPI 1013684026) is an individual occupational therapist in Goshen, New York, licensed in New York (025798-01) and active in the NPI registry since August 2021.

NPPES Registry Identity

NPI1013684026
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMISS NICOLE JACQUELINE TIRELLI
Location Address103 GIBSON RDGoshen, NY 10924-6710
Mailing Address103 Gibson RdGoshen, NY 10924-6710 · (845) 492-0230
Sole ProprietorNo
Enumeration DateAugust 26, 2021
Last NPPES UpdateOctober 21, 2025
NPPES CertifiedOctober 21, 2025
✔ NPI 1013684026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in NY · 025798-01
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.
103 GIBSON RD, Goshen, NY 10924

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Miss Nicole Jacqueline Tirelli is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Nicole Tirelli reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Rural Health
606 OLD ROUTE 17
Monticello, NY 12701
  • Reassigned Medicare billing, New York enrollment
  • 40 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Registered Nurse (School)
103 GIBSON RD
GOSHEN, NY 10924
Registered Nurse
103 GIBSON RD
GOSHEN, NY 10924

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nicole Tirelli's NPI number?

The NPI number for Nicole Tirelli is 1013684026. It was assigned to this individual provider in the NPPES registry on August 26, 2021.

Where is Nicole Tirelli located?

Nicole Tirelli practices at 103 Gibson Rd, Goshen, NY 10924. The listed phone number is (845) 492-0230.

What is Nicole Tirelli's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Nicole Tirelli enrolled in Medicare?

Yes. Nicole Tirelli is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Tirelli's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Tirelli reassigns Medicare benefits to The Center For Discovery Inc (Monticello, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Tirelli's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Nicole Tirelli was last updated on October 21, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.