NICOLE WHITE
NPI 1114642022
Occupational Therapist in Port Jefferson, NY

Active since October 04, 2022Accepts Medicare Assignment
88.13/100
CMS Quality Rating
70 N COUNTRY RD STE 103, PORT JEFFERSON, NY 11777(631) 938-1565(321) 865-1179 Get Directions Write a Review

NPPES record last updated: October 4, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole White NPPES

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

NICOLE WHITE (NPI 1114642022) is an individual occupational therapist in Port Jefferson, New York, licensed in New York (027206) and active in the NPI registry since October 2022. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1114642022
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameNICOLE WHITE
Location Address70 N COUNTRY RD STE 103Port Jefferson, NY 11777-2161
Mailing Address576 Broadhollow RdMelville, NY 11747-5002 · (631) 359-5859
Fax(321) 865-1179
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 4, 2022
NPPES CertifiedOctober 4, 2022
NPI 1114642022 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 · 027206
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.
70 N COUNTRY RD STE 103, Port Jefferson, NY 11777

Other Identifiers 1

Other1487104261NY · Professional Occupational Physical Therapy, Pllc

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nicole White is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6103294947
PECOS Enrollment IDI20221129000297

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
513 services61 patients
Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
351 services52 patients
Therapy procedure using manual technique, each 15 minutes 97140
This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.
288 services61 patients
Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110
This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.
231 services47 patients
Therapy procedure in a group setting 97150
Group therapy involves meeting with a trained therapist alongside others facing similar challenges. It provides a supportive environment to share experiences, learn coping strategies, and gain insights from others. It's a safe space for personal growth and mutual support.
143 services40 patients
Evaluation for occupational therapy, typically 30 minutes 97165
An evaluation for occupational therapy is a process where a therapist assesses your physical and mental abilities to perform daily activities. This 30-minute session helps identify any difficulties you may have and develop strategies for improvement.
37 services37 patients

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

88.13/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.03
Improvement Activities40

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 White's NPI number?

The NPI number for Nicole White is 1114642022. It was assigned to this individual provider in the NPPES registry on October 4, 2022.

Where is Nicole White located?

Nicole White practices at 70 N Country Rd Ste 103, Port Jefferson, NY 11777. The listed phone number is (631) 938-1565.

What is Nicole White's specialty?

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

Is Nicole White enrolled in Medicare?

Yes. Nicole White is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Nicole White was last updated on October 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.