KAREN BOMAR NICKERSON OTR/L
NPI 1144783002
Occupational Therapist in Lilburn, GA

Active since April 08, 2019
76A CAMP CREEK RD SW, LILBURN, GA 30047(404) 805-6482 Get Directions Write a Review

NPPES record last updated: April 8, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Karen Bomar Nickerson Otr/l NPPES

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

KAREN BOMAR NICKERSON OTR/L (NPI 1144783002) is an individual occupational therapist in Lilburn, Georgia, licensed in Georgia (OT007352) and active in the NPI registry since April 2019. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1144783002
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameKAREN BOMAR NICKERSONCredential: OTR/L
Location Address76A CAMP CREEK RD SWLilburn, GA 30047-3909
Mailing Address76a Camp Creek Rd SwLilburn, GA 30047-3909 · (404) 805-6482
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 8, 2019
✔ NPI 1144783002 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 GA · OT007352
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.
76A CAMP CREEK RD SW, Lilburn, GA 30047

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)

Karen Bomar Nickerson Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID3779065412
PECOS Enrollment IDI20260303002811

Medicare Billing Reassignment

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

Physical Therapist
1260 HIGHTOWER TRL
Atlanta, GA 30350
  • Reassigned Medicare billing, Georgia enrollment
  • 220 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.

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 Karen Nickerson's NPI number?

The NPI number for Karen Nickerson is 1144783002. It was assigned to this individual provider in the NPPES registry on April 8, 2019.

Where is Karen Nickerson located?

Karen Nickerson practices at 76A Camp Creek Rd SW, Lilburn, GA 30047. The listed phone number is (404) 805-6482.

What is Karen Nickerson's specialty?

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

Is Karen Nickerson enrolled in Medicare?

Yes. Karen Nickerson is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Karen Nickerson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Karen Nickerson reassigns Medicare benefits to Fox Rehabilitation Ga, LLC (Atlanta, GA). 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 Karen Nickerson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Karen Nickerson accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Karen Nickerson 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 Karen Nickerson was last updated on April 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.