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NICKOLE BRICK M.S., CCC-SLP
NPI 1073062667
Speech-Language Pathologist in Woodbridge, CT

Active since September 24, 2016
225 AMITY RD, WOODBRIDGE, CT 06525(203) 387-0076 Get Directions Write a Review

NPPES record last updated: September 24, 2016. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Nickole Brick M.s., Ccc-slp NPPES

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

NICKOLE BRICK M.S., CCC-SLP (NPI 1073062667) is an individual speech-language pathologist provider in Woodbridge, Connecticut, licensed in Connecticut (004862) and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1073062667
Entity TypeIndividualFemale
Primary Taxonomy235Z00000X
Provider Legal NameNICKOLE BRICKCredential: M.S., CCC-SLP
Location Address225 AMITY RDWoodbridge, CT 06525-2206
Mailing Address225 Amity RdWoodbridge, CT 06525-2206
Phone(203) 387-0076
Sole ProprietorNo
Enumeration DateSeptember 24, 2016
✔ NPI 1073062667 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpeech-Language PathologistSpeech, Language and Hearing Service Providers
Taxonomy Code235Z00000X
License✔ Licensed in CT · 004862
Definition
The speech-language pathologist is the professional who engages in clinical services, prevention, advocacy, education, administration, and research in the areas of communication and swallowing across the life span from infancy through geriatrics. Speech-language pathologists address typical and atypical impairments and disorders related to communication and swallowing in the areas of speech sound production, resonance, voice, fluency, language (comprehension and expression), cognition, and feeding and swallowing.
225 AMITY RD, Woodbridge, CT 06525
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nickole Brick M.s., Ccc-slp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Legacy Healthcare Services Inc
575 mi
Physical Therapist
568 N PINE RD
Bay City, MI 48708
  • Reassigned Medicare billing, Michigan enrollment
  • 57 clinicians in this Medicare group
NPI 1942829064 (989) 778-1127

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 14

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

MRS. EMANUELA NATASHA DACRUZ COTA/L
Occupational Therapy Assistant
225 AMITY RD
WOODBRIDGE, CT 06525
South Central Connecticut Planning Region (203) 387-0076
MS. MICHELLE LYNNE MARTIN OTR/L
Occupational Therapist
225 AMITY RD
WOODBRIDGE, CT 06525
South Central Connecticut Planning Region (203) 387-0076
MR. FRANK JAMES RACCIO JR. LNHA, PTA
Nursing Home Administrator
225 AMITY RD
WOODBRIDGE, CT 06525
South Central Connecticut Planning Region (203) 387-0076
225 AMITY RD OPCO LLC
Skilled Nursing Facility
225 AMITY RD
WOODBRIDGE, CT 06525
South Central Connecticut Planning Region (732) 358-6883
LYNN ALBERT
Occupational Therapy Assistant
225 AMITY RD
WOODBRIDGE, CT 06525
South Central Connecticut Planning Region (203) 387-0076
CARYN PARR OTR/L
Occupational Therapist
225 AMITY RD
WOODBRIDGE, CT 06525
South Central Connecticut Planning Region (203) 387-0076
MRS. AMANDA MICHELLE SNELGROVE COTA/L
Occupational Therapy Assistant
225 AMITY RD
WOODBRIDGE, CT 06525
South Central Connecticut Planning Region (230) 387-0076
ALFRED AMAECHI
Nurse Practitioner (Primary Care)
225 AMITY RD
WOODBRIDGE, CT 06525
South Central Connecticut Planning Region (203) 387-0076

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 Nickole Brick's NPI number?

The NPI number for Nickole Brick is 1073062667. It was assigned to this individual provider in the NPPES registry on September 24, 2016.

Where is Nickole Brick located?

Nickole Brick practices at 225 Amity Rd, Woodbridge, CT 06525. The listed phone number is (203) 387-0076.

What is Nickole Brick's specialty?

The primary specialty registered for this NPI is Speech-Language Pathologist with taxonomy code 235Z00000X.

Is Nickole Brick enrolled in Medicare?

Yes. Nickole Brick is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nickole Brick's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nickole Brick reassigns Medicare benefits to Legacy Healthcare Services Inc (Bay City, MI). 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 Nickole Brick'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 Nickole Brick was last updated on September 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years 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.