NICOLE SAMUELSON
NPI 1174951537
Occupational Therapist in Indianapolis, IN

Active since October 23, 2013Accepts Medicare Assignment
8501 HARCOURT RD, INDIANAPOLIS, IN 46260(317) 875-9105(317) 875-8638 Get Directions Write a Review

NPPES record last updated: April 1, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Apr 1, 2024, Apr 14, 2023, Aug 30, 2017 (3 updates tracked since 2017).

About Nicole Samuelson NPPES

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

NICOLE SAMUELSON (NPI 1174951537) is an individual occupational therapist in Indianapolis, Indiana, licensed in Indiana (31005464A) and active in the NPI registry since October 2013. She is a graduate of Other (2012).

NPPES Registry Identity

NPI1174951537
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameNICOLE SAMUELSON
Location Address8501 HARCOURT RDIndianapolis, IN 46260-2046
Mailing Address8501 Harcourt RdIndianapolis, IN 46260-2046 · (317) 875-9105 · Fax (317) 875-8638
Fax(317) 875-8638
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 23, 2013
Last NPPES UpdateApril 1, 20243 updates tracked since enumeration
NPPES CertifiedApril 1, 2024
NPI 1174951537 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 IN · 31005464A
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.

8501 HARCOURT RD, Indianapolis, IN 46260

Accepted Insurance

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 Samuelson 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 ID7315175791
PECOS Enrollment IDI20140109001153

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.

Physician Assistant (Surgical)
8501 HARCOURT RD
INDIANAPOLIS, IN 46260
Anesthesiology
8501 HARCOURT RD
INDIANAPOLIS, IN 46260
Occupational Therapist
8501 HARCOURT RD
INDIANAPOLIS, IN 46260
Occupational Therapist
8501 HARCOURT RD
INDIANAPOLIS, IN 46260
Orthopaedic Surgery
8501 HARCOURT RD
INDIANAPOLIS, IN 46260
Occupational Therapist (Hand)
8501 HARCOURT RD
INDIANAPOLIS, IN 46260
Clinic/Center (Ambulatory Surgical)
8501 HARCOURT RD
INDIANAPOLIS, IN 46260
Occupational Therapist
8501 HARCOURT RD
INDIANAPOLIS, IN 46260

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174951537, enumerated as an "individual" on October 23, 2013.

The provider is located at 8501 HARCOURT RD INDIANAPOLIS, IN 46260 and the phone number is (317) 875-9105.

Occupational Therapist with taxonomy code 225X00000X.

The provider might be accepting Accepts: Ambetter from Buckeye Health Plan, Ambetter from. Please consult your insurance carrier or call the provider to verify.