MR. ERIK L. NIELSEN OTR/L, CHT
NPI 1376525774
Occupational Therapist - Hand in Seattle, WA

NPI Status: Active since November 19, 2005

Contact Information

2409 N 45TH ST
SEATTLE, WA
ZIP 98103
Phone: (206) 663-8100
Fax: (206) 633-6107

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  • Individual
  • Male
  • Years of Experience 34
  • Occupational Therapist
  • Hand
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About ERIK NIELSEN

This page provides the complete NPI Profile along with additional information for Erik Nielsen, a provider established in Seattle, Washington with a medical specialization in Occupational Therapist, focusing in hand and more than 34 years of experience. The healthcare provider is registered in the NPI registry with number 1376525774 assigned on November 2005. The practitioner's primary taxonomy code is 225XH1200X with license number OT00002455 (WA). The provider is registered as an individual and his NPI record was last updated 14 years ago.

NPI
1376525774
Provider Name
MR. ERIK L. NIELSEN OTR/L, CHT
Gender
Male
Entity Type
Individual
Location Address
2409 N 45TH ST SEATTLE, WA 98103
Location Phone
(206) 663-8100
Location Fax
(206) 633-6107
Mailing Address
805 MADISON ST SUITE 901 SEATTLE, WA 98104
Mailing Phone
(206) 264-8100
Mailing Fax
(206) 633-6107
Medical School Name
OTHER
Graduation Year
1992
Is Sole Proprietor?
No
Enumeration Date
11-19-2005
Last Update Date
03-30-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Occupational Therapist Hand

Taxonomy Code
225XH1200X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
OT00002455
License State
WA

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Core Bronze HSA 10600 - EPO
  • Core Bronze HSA 7500 - EPO
  • Core Bronze HSA 8300 - EPO
  • Core Gold 1500 - EPO
  • Core Gold 3000 - EPO
  • Core Silver 3500 - EPO
  • Core Silver 4500 - EPO
  • Core Silver 5000 - EPO
  • Core Silver 7500 - EPO
  • Core Standard Expanded Bronze HSA - EPO
  • Core Standard Gold - EPO
  • Core Standard Silver - EPO
  • PacificSource Oregon Standard Bronze HSA Plan Core - EPO
  • PacificSource Oregon Standard Gold Plan Core - EPO
  • PacificSource Oregon Standard Silver Plan Core - EPO
  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO
  • Premera Blue Cross Family Dental - PPO
  • Premera Blue Cross Pediatric Dental - PPO
  • HSA-E Qualified 7500 Bronze - Signature Network - EPO
  • Providence Oregon Standard Bronze Plan - Signature Network - EPO
  • Providence Oregon Standard Gold Plan - Signature Network - EPO
  • Providence Oregon Standard Silver Plan - Signature Network - EPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Erik Nielsen is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 3678734779

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20120417000686

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Evaluation for occupational therapy, typically 30 minutes

An evaluation for occupational therapy is a process where a therapist assesses your physical and mental abilities to perform daily activities. This 30-minute session helps identify any difficulties you may have and develop strategies for improvement.

This service was performed 14 times for 14 patients

Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes

This therapy involves exercises to boost strength, endurance, flexibility, and range of motion. Each session lasts 15 minutes. The goal is to improve physical function and overall health. It's a safe, beneficial method for enhancing well-being and fitness.

This service was performed 43 times for 19 patients

Therapy procedure using manual technique, each 15 minutes

This therapy involves using hands-on techniques to help improve your body's movement and function. These techniques may include stretching, resistance exercises, or gentle pressure. Each session lasts 15 minutes and aims to relieve pain, promote healing, and improve your overall health.

This service was performed 257 times for 26 patients

Reviews for MR. ERIK L. NIELSEN OTR/L, CHT

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1376525774, we treat the final digit (4) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 56. The final step is to find the difference between that total and the next multiple of ten (60 - 56 = 4).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
3
Unchanged
Pos 3
7
Doubled → 14 → 1 + 4
Pos 4
6
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
2
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
4
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 7 → 14 → 5 5 → 10 → 1 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 3 + 1 + 4 + 6 + 1 + 0 + 2 + 1 + 0 + 7 + 1 + 4 + 24 = 56

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 56 is 60. The difference is the calculated check digit.

60 - 56 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1376525774.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Orthopaedic Surgery
2409 N 45TH ST
SEATTLE, WA 98103
Orthopaedic Surgery
2409 N 45TH ST
SEATTLE, WA 98103
Orthopaedic Surgery
2409 N 45TH ST
SEATTLE, WA 98103
Orthopaedic Surgery
2409 N 45TH ST
SEATTLE, WA 98103
Orthopaedic Surgery
2409 N 45TH ST
SEATTLE, WA 98103
Occupational Therapist (Hand)
2409 N 45TH ST
SEATTLE, WA 98103
Physician Assistant (Surgical)
2409 N 45TH ST
SEATTLE, WA 98103
Physical Therapist
2409 N 45TH ST
SEATTLE, WA 98103
Physical Therapist
2409 N 45TH ST
SEATTLE, WA 98103
Orthopaedic Surgery (Foot and Ankle Surgery)
2409 N 45TH ST
SEATTLE, WA 98103
Physical Therapist
2409 N 45TH ST
SEATTLE, WA 98103
Physical Therapist
2409 N 45TH ST
SEATTLE, WA 98103
Physician Assistant (Surgical)
2409 N 45TH ST
SEATTLE, WA 98103
Specialist/Technologist (Athletic Trainer)
2409 N 45TH ST
SEATTLE, WA 98103
Physician Assistant
2409 N 45TH ST
SEATTLE, WA 98103
Occupational Therapist (Hand)
2409 N 45TH ST
SEATTLE, WA 98103
Physician Assistant (Surgical)
2409 N 45TH ST
SEATTLE, WA 98103
Physician Assistant (Surgical)
2409 N 45TH ST
SEATTLE, WA 98103
Physician Assistant (Surgical)
2409 N 45TH ST
SEATTLE, WA 98103
Clinic/Center (Magnetic Resonance Imaging (MRI))
2409 N 45TH ST
SEATTLE, WA 98103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1376525774, enumerated as an "individual" on November 19, 2005.

The provider is located at 2409 N 45TH ST SEATTLE, WA 98103 and the phone number is (206) 663-8100.

Occupational Therapist with taxonomy code 225XH1200X and a focus in Hand.

The provider might be accepting Accepts: PacificSource Health Plans, Premera Blue Cross. Please consult your insurance carrier or call the provider to verify.