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

Active since May 01, 2022Accepts Medicare Assignment
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: August 02, 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. She is a graduate of Other (2021).

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
Medical School CMSOtherGraduated 2021
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

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 Groll Otr/l 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 ID5991231466
PECOS Enrollment IDI20241206001614

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 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 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.