DAVIE JUN NICOLAS
NPI 1659255370
Occupational Therapist in Clackamas, OR
About Davie Jun Nicolas NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAVIE JUN NICOLAS (NPI 1659255370) is an individual occupational therapist in Clackamas, Oregon, licensed in Oregon (239952) and active in the NPI registry since August 2025.
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Davie Jun Nicolas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Davie Jun Nicolas reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Clackamas, OR 97015
- Reassigned Medicare billing, Oregon enrollment
- 10 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 14
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
CLACKAMAS, OR 97015
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 Davie Jun Nicolas's NPI number?
The NPI number for Davie Jun Nicolas is 1659255370. It was assigned to this individual provider in the NPPES registry on August 5, 2025.
Where is Davie Jun Nicolas located?
Davie Jun Nicolas practices at 10121 SE Sunnyside Rd Ste 300, Clackamas, OR 97015. The listed phone number is (877) 407-3422.
What is Davie Jun Nicolas's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Davie Jun Nicolas enrolled in Medicare?
Yes. Davie Jun Nicolas is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Davie Jun Nicolas's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Davie Jun Nicolas reassigns Medicare benefits to Fox Rehabilitation Services Or LLC (Clackamas, OR). 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 Davie Jun Nicolas's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Davie Jun Nicolas was last updated on August 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.