Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Alyssa Nichols, MSOT, OTR/L

Individual provider Occupational Therapist · NPI 1508564188

Alyssa Nichols, MSOT, OTR/L is an Occupational Therapist in Private Practice in Urbandale, Iowa. Qualified in 2020, 6 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Georgia and Iowa.

Years since qualifying
6
Licensed in
GA, IA
In the registry since
2023
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

8000 Douglas Ave
Urbandale, IA 50322-2450
Phone: (515) 251-3700
Fax: (515) 251-3733
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 107438 (IA)
Occupational Therapist Taxonomy 225X00000X · Licence OT008722 (GA)

Record details

NPI number1508564188
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSOT , OTR/L
Sole proprietorNo
NPI enumeratedFebruary 22, 2023
Last updated in NPPESMay 6, 2025
Certification dateMay 6, 2025
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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