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

Nicole Lynn Deming

Individual provider Occupational Therapist · NPI 1588431068

Nicole Lynn Deming is an Occupational Therapist in Private Practice in South Bend, Indiana. Qualified in 2022, 4 years ago. Practices with Creative Health Care Management LLC, a 88-clinician group and accepts Medicare assignment. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2023
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Practice location Address checks out

20531 Darden Rd
South Bend, IN 46637-2915
Phone: (574) 272-0100
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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 31007866A (IN)

Record details

NPI number1588431068
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedDecember 5, 2023
Last updated in NPPESDecember 5, 2023
Certification dateDecember 5, 2023

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Creative Health Care Management Llc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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