NICOLE FOSTER (OTR/L) – Occupational Therapist, NPI 1780481093

NICOLE FOSTER (OTR/L) is a healthcare provider. based in Concordia, Missouri. specializing in OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials OTR/L. The NPI Number for NICOLE FOSTER (OTR/L) is 1780481093

Main info

Female
6 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE FOSTER (OTR/L)
NPI
1780481093
Phone
Not provided
Address
510 S TRAVIS ST
Enumeration Date
26 February 2025
Last Update Date
26 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6604632588
Graduation Year
2020 (6 years ago)
PAC ID
4486176575
Group Practice PAC ID
7810960523
Professional Enrollment ID
I20250318002688
Address ID
MO640202503CO607XXSTXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience17
Completeness75
Years active:1State licenses:0Digital endpointsOther names

334 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in MO

Provider Addresses for NICOLE FOSTER (OTR/L)

  • 510 S TRAVIS ST

    CONCORDIA, MO 640207329

    Phone:

    Type: Mailing

  • 607 S MAIN ST

    CONCORDIA, MO 640202503

    Phone: (660) 463-2588

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-03-18

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250318002688IOccupational Therapist In Private PracticeMOTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 64020)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7810960523View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO
Physical Therapist In Private PracticeMO

Reviews

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Frequently asked questions

What is the 10-digit NPI for NICOLE FOSTER (OTR/L)?
NICOLE FOSTER (OTR/L) — NPI 1780481093 — is the standard way to identify this listing.
Is NICOLE FOSTER (OTR/L) still practicing?
NICOLE FOSTER (OTR/L) is currently listed as active in the public NPI registry.
What is NICOLE FOSTER (OTR/L) best known for clinically?
Directory data describes NICOLE FOSTER (OTR/L) with Occupational Therapist. Clinical services aligned with this taxonomy classification.
Where is NICOLE FOSTER (OTR/L) based?
NICOLE FOSTER (OTR/L) is tied to Concordia, Missouri in the data we show; additional addresses may exist on the full record.
Is the information about NICOLE FOSTER (OTR/L) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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