JOANNA J NICHOLAS OTR
NPI 1215092341
Occupational Therapist in Madison, WI

Active since December 27, 2006Accepts Medicare Assignment
7710 S BROOKLINE DR, MADISON, WI 53719(608) 833-2017 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Joanna J Nicholas Otr NPPES

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

JOANNA J NICHOLAS OTR (NPI 1215092341) is an individual occupational therapist in Madison, Wisconsin, licensed in Wisconsin (3717-026) and active in the NPI registry since December 2006. She is a graduate of Other (2000).

NPPES Registry Identity

NPI1215092341
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameJOANNA J NICHOLASCredential: OTR
Location Address7710 S BROOKLINE DRMadison, WI 53719-3511
Mailing Address2318 Westchester RdFitchburg, WI 53711-4372 · (608) 712-4089
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateDecember 27, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1215092341 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 WI · 3717-026
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.
7710 S BROOKLINE DR, Madison, WI 53719

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Joanna J Nicholas Otr 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 ID3072551399
PECOS Enrollment IDI20171023000233

Medicare Billing Reassignment

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

263 mi
Mental Health (Including Community Mental Health Center)
200 W SPRING ST
Marquette, MI 49855
  • Reassigned Medicare billing, Michigan enrollment
  • 36 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 2

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

Physical Therapy Assistant
7710 S BROOKLINE DR
MADISON, WI 53719
Physical Therapy Assistant
7710 S BROOKLINE DR
MADISON, WI 53719

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 Joanna Nicholas's NPI number?

The NPI number for Joanna Nicholas is 1215092341. It was assigned to this individual provider in the NPPES registry on December 27, 2006.

Where is Joanna Nicholas located?

Joanna Nicholas practices at 7710 S Brookline Dr, Madison, WI 53719. The listed phone number is (608) 833-2017.

What is Joanna Nicholas's specialty?

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

Is Joanna Nicholas enrolled in Medicare?

Yes. Joanna Nicholas 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.

Which organization bills Medicare for Joanna Nicholas's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Joanna Nicholas reassigns Medicare benefits to Pathways (Marquette, MI). 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 Joanna Nicholas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Joanna Nicholas accept?

Health plans from Blue Cross Blue Shield of Michigan Mutual Insurance Company list Joanna Nicholas 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 Joanna Nicholas was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.