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

Mrs. Nicole Renee Rubash, OTR/L

Individual provider Neurorehabilitation Occupational Therapist · NPI 1134006067

Mrs. Nicole Renee Rubash, OTR/L is an Occupational Therapist in Private Practice in Longview, Washington. Qualified in 2021, 5 years ago. Practices with Peacehealth, a 187-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
5
Licensed in
WA
In the registry since
2025
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

200 Triangle Shopping Ctr Ste 270
Longview, WA 98632-4684
Phone: (360) 501-3750
Fax: (360) 501-3755
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT61256790 (WA)
Neurorehabilitation Occupational Therapist Taxonomy 225XN1300X · Licence OT61256790 (WA)

Record details

NPI number1134006067
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedAugust 20, 2025
Last updated in NPPESSeptember 2, 2025
Certification dateSeptember 2, 2025

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Peacehealth — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount