NICOLE GROLL OTR/L
NPI 1124763503
Occupational Therapist in Salem, OR

Active since May 01, 2022
2611 PRINGLE RD SE, SALEM, OR 97302(860) 613-9930 Get Directions Write a Review

NPPES record last updated: April 19, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Groll Otr/l NPPES

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

NICOLE GROLL OTR/L (NPI 1124763503) is an individual occupational therapist in Salem, Oregon, licensed in Oregon (469582) and active in the NPI registry since May 2022.

NPPES Registry Identity

NPI1124763503
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameNICOLE GROLLCredential: OTR/L
Location Address2611 PRINGLE RD SESalem, OR 97302-1533
Mailing Address2611 Pringle Rd SeSalem, OR 97302-1533
Sole ProprietorNo
Enumeration DateMay 1, 2022
Last NPPES UpdateApril 19, 2024
NPPES CertifiedApril 19, 2024
✔ NPI 1124763503 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 OR · 469582
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.
2611 PRINGLE RD SE, Salem, OR 97302

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Groll Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Rehabilitation
2600 COMPASS RD
Glenview, IL 60026
  • Reassigned Medicare billing, Oregon enrollment
  • 45 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 20

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

Speech-Language Pathologist
2611 PRINGLE RD SE
SALEM, OR 97302
Audiologist
2611 PRINGLE RD SE
SALEM, OR 97302
Registered Nurse (School)
2611 PRINGLE RD SE
SALEM, OR 97302
Physical Therapist
2611 PRINGLE RD SE
SALEM, OR 97302
Speech-Language Pathologist
2611 PRINGLE RD SE
SALEM, OR 97302
Speech-Language Pathologist
2611 PRINGLE RD SE
SALEM, OR 97302
Speech-Language Pathologist
2611 PRINGLE RD SE
SALEM, OR 97302
Community Health Worker
2611 PRINGLE RD SE
SALEM, OR 97302

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 Groll's NPI number?

The NPI number for Nicole Groll is 1124763503. It was assigned to this individual provider in the NPPES registry on May 1, 2022.

Where is Nicole Groll located?

Nicole Groll practices at 2611 Pringle Rd SE, Salem, OR 97302. The listed phone number is (860) 613-9930.

What is Nicole Groll's specialty?

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

Is Nicole Groll enrolled in Medicare?

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

Which organization bills Medicare for Nicole Groll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Groll reassigns Medicare benefits to Select Rehabilitation, LLC (Glenview, IL). 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 Groll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Groll accept?

Health plans from BridgeSpan Health Company and Regence BlueCross BlueShield of Oregon list Nicole Groll as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Groll was last updated on April 19, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.