Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
NICHOLAS TYLER PEACOCK, L/COTA
ActiveNICHOLAS TYLER PEACOCK, L/COTA is a Occupational Therapy Assistant healthcare provider located in CHAMPAIGN, Illinois. NPI 1316528797 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · CHAMPAIGN, IL
Registration Details
- NPI Number
- 1316528797
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 18, 2021 (5.2896277271389 yrs)
- Last Updated
- Apr 18, 2021
- License
-
057.005500 (IL)
Practice Information
- Address
-
3001 CHERRY HILLS DRCHAMPAIGN, IL, 618227586Browse IL providers · Browse ZIP 61822
- Phone
- 2177217799
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in CHAMPAIGN, IL
| Name | Credential | NPI |
|---|---|---|
| MISS NILA N BLAIR | COTA | 1598918849 |
| MRS. KELLI RENEE MEENTS | COTA/L | 1013254408 |
| TAYLOR NICOLE RICH | — | 1356816466 |
| MR. SIEGFRED T. CELIS | — | 1487129730 |
| ISABELLA RUBY SMITH | COTA/L | 1447803507 |
| JENNIFER LOVETT | — | 1336732205 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.