Alyssa Nichols, MSOT, OTR/L in Urbandale, IA - Medicare Occupational Therapist Provider

Alyssa Nichols, MSOT, OTR/L is a medicare enrolled "Occupational Therapist" provider in Urbandale, Iowa. Her current practice location is 8000 Douglas Ave, Urbandale, Iowa. You can reach out to her office (for appointments etc.) via phone at (515) 251-3700.

Alyssa Nichols is licensed to practice in Iowa (license number 107438) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1508564188.

Contact Information

	Alyssa Nichols, MSOT, OTR/L
	8000 Douglas Ave, Urbandale, IA 50322-2450
	(515) 251-3700
	(515) 251-3733

Map and Direction

Healthcare Provider's Profile

Full Name	Alyssa Nichols
Gender	Female
Speciality	Occupational Therapist
Location	8000 Douglas Ave, Urbandale, Iowa
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1508564188
Provider Enumeration Date: 02/22/2023
Last Update Date: 05/06/2025

Medicare PECOS Information:

PECOS PAC ID: 5890213979
Enrollment ID: I20250513003237

Medical Identifiers

Medical identifiers for Alyssa Nichols such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1508564188	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225X00000X	Occupational Therapist	OT008722 (Georgia)	Secondary
225X00000X	Occupational Therapist	107438 (Iowa)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alyssa Nichols allows following entities to bill medicare on her behalf.

Provider Name	Athletico Ltd
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20150820012358

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alyssa Nichols is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Alyssa Nichols, MSOT, OTR/L 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (630) 575-1980	Alyssa Nichols, MSOT, OTR/L 8000 Douglas Ave, Urbandale, IA 50322-2450 Ph: (515) 251-3700

Reviews and Comments

Occupational Therapist in Urbandale, IA

Andrew Vanblair, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13731 Hickman Rd, Urbandale, IA 50323 Phone: 515-331-9676
Mrs. Jeanne Marie Fung, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 14817 Dellwood Dr, Urbandale, IA 50323 Phone: 515-229-0629
Premere Rehab Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2727 82nd Pl, Urbandale, IA 50322 Phone: 913-403-8200
Erin Johnson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13731 Hickman Rd, Urbandale, IA 50323 Phone: 515-331-6907
Molly Joanne Manning, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4222 161st St, Urbandale, IA 50323 Phone: 515-867-1571
Mrs. Christen Anne Bliss, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4319 Nw Urbandale Dr, Urbandale, IA 50322 Phone: 515-225-4070
Sarah Gronau, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4319 Nw Urbandale Dr, Urbandale, IA 50322 Phone: 515-225-4070

Alyssa Nichols, MSOT, OTR/L - Medicare Occupational Therapist in Urbandale, IA