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

Nicolette Keale

Individual provider Occupational Therapist · NPI 1740930403

Nicolette Keale is an Occupational Therapist in Private Practice in Manasquan, New Jersey. Qualified in 2021, 5 years ago. Practices with Northeast Sports Medicine Group, PC, a 15-clinician group and accepts Medicare assignment.

Years since qualifying
5
In the registry since
2022
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Practice location Address checks out

2440 Route 34
Manasquan, NJ 08736-1808
Phone: (732) 612-9948
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1740930403
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMarch 25, 2022
Last updated in NPPESMarch 25, 2022
Certification dateMarch 25, 2022
Mailing address2440 Route 34, Manasquan, NJ 08736-1808

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 Northeast Sports Medicine Group, Pc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Manasquan