NICOLE ELLEDGE (OTR) – Occupational Therapist, NPI 1003075417
Occupational Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
223 OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE in OR
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Provider Addresses for NICOLE ELLEDGE (OTR)
23532 SW STONEHAVEN ST
SHERWOOD, OR 971407076
Phone: (971) 732-2991
Type: Mailing
15584, Southwest Oriole Court, Sherwood, Metro, Washington County, Oregon, 97140, United States
SHERWOOD, OR 971409178
Phone: (503) 754-1299
Type: Mailing
Fulton Street, Emfuleni Ward 10, Vanderbijlpark, Emfuleni Local Municipality, Sedibeng District Municipality, Gauteng, South Africa
NEWBERG, OR 971321806
Phone: (503) 538-2108
Type: Location
1900 Fulton St
Newberg, OR 971321806
Phone: (503) 538-2108
Type: Location
3900 KRUSE WAY PL
LAKE OSWEGO, OR 970352512
Phone: (503) 607-0566
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: 2012-12-27
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20121227000471 | I | Occupational Therapist In Private Practice | OR | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97530 | Therapy procedure using functional activities | 1,887 | 63 | $0 |
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 668 | 56 | $0 |
| 97535 | Training for self-care or home management, each 15 minutes | 417 | 54 | $0 |
| 97166 | Evaluation for occupational therapy, typically 45 minutes | 56 | 50 | $0 |
| 97112 | Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes | 35 | 11 | $0 |
Insurance plans in this area (ZIP 97140)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | OR | |
| Occupational Therapist In Private Practice | OR | |
| Occupational Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | OR | |
| Physical Therapist In Private Practice | CA |
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