Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Karen Bomar Nickerson, OTR/L

Individual provider Occupational Therapist · NPI 1144783002

Karen Bomar Nickerson, OTR/L is an Occupational Therapist in Private Practice in Lilburn, Georgia. Qualified in 2018, 8 years ago. Licensed in Georgia.

Years since qualifying
8
Licensed in
GA
In the registry since
2019
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

76A Camp Creek Rd SW
Lilburn, GA 30047-3909
Phone: (404) 805-6482
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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 OT007352 (GA)

Record details

NPI number1144783002
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedApril 8, 2019
Last updated in NPPESApril 8, 2019

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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