DAVIE JUN NICOLAS
NPI 1659255370
Occupational Therapist in Clackamas, OR

Active since August 05, 2025
10121 SE SUNNYSIDE RD STE 300, CLACKAMAS, OR 97015(877) 407-3422(877) 407-4329 Get Directions Write a Review

NPPES record last updated: August 5, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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. He is a graduate of Other (2024).

NPPES Registry Identity

NPI1659255370
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameDAVIE JUN NICOLAS
Location Address10121 SE SUNNYSIDE RD STE 300Clackamas, OR 97015-5713
Mailing Address7 Carnegie PlzCherry Hill, NJ 08003-1000 · (877) 407-3422 · Fax (877) 407-4329
Fax(877) 407-4329
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateAugust 5, 2025
NPPES CertifiedAugust 5, 2025
NPI 1659255370 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 OR · 239952
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.
10121 SE SUNNYSIDE RD STE 300, Clackamas, OR 97015

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Davie Jun Nicolas is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406359603
PECOS Enrollment IDI20250912002520

Other Providers at the Same Location NPPES 13

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

In Home Supportive Care
10121 SE SUNNYSIDE RD STE 300
CLACKAMAS, OR 97015
Occupational Therapist
10121 SE SUNNYSIDE RD STE 300
CLACKAMAS, OR 97015
Psychiatry & Neurology (Addiction Psychiatry)
10121 SE SUNNYSIDE RD STE 300, SUITE 300
CLACKAMAS, OR 97015
Speech-Language Pathologist
10121 SE SUNNYSIDE RD STE 300
CLACKAMAS, OR 97015
Social Worker (Clinical)
10121 SE SUNNYSIDE RD STE 300
CLACKAMAS, OR 97015
Nurse Practitioner (Psychiatric/Mental Health)
10121 SE SUNNYSIDE RD STE 300
CLACKAMAS, OR 97015
Clinic/Center (Mental Health (Including Community Mental Health Center))
10121 SE SUNNYSIDE RD STE 300
CLACKAMAS, OR 97015
Community/Behavioral Health
10121 SE SUNNYSIDE RD STE 300
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.

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 12 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.