Carly Nichols, OTD OTR/L
NPI 1679119036 · Occupational Therapist · Wiggins, MS
Enrolled with Medicare as Practitioner - Occupational Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carly Nichols, OTD OTR/L is a Occupational Therapist provider in Wiggins, MS (NPI 1679119036).
Provider details
- NPI number
- 1679119036
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTD OTR/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- OT-4116 (MS)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1620 Highway 11 N Ste CPicayune, MS 39466-2070Phone: (769) 242-2626Fax: (769) 242-2685
Registry dates
- Enumerated
- 2019-11-20
- Last updated
- 2024-05-07
- Certified
- 2024-05-07
Frequently asked questions
- What is Carly Nichols's NPI number?
- Carly Nichols's National Provider Identifier (NPI) is 1679119036, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carly Nichols's specialty?
- Carly Nichols is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Carly Nichols located?
- Carly Nichols's practice location on file with NPPES is 1601 Central Ave W, Wiggins, MS 39577-2401.
- What is Carly Nichols's phone number?
- The practice phone number listed in the NPPES registry for Carly Nichols is (601) 716-3196.
- Does Carly Nichols accept Medicare?
- Carly Nichols is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carly Nichols's NPI active?
- Yes — Carly Nichols's NPI (1679119036) is active in the NPPES registry as of the last update on 2024-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.