P Praxis·MD
● Active Type 1 · Individual

Nicole Nickell, OT

Specialist·Boise, ID· NPI 1760788384 · Enumerated 2011 · 15 years on NPI
Nickell is 1 of 67 specialist providers in Boise and 1 of 305 in Idaho.
NPI age
15 years
Enumerated 2011-01-28
Primary specialty
Specialist
Licensed in
ID
1 state
Status
Active
No deactivations on record
Last NPPES update
2011-01-28
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 305 active specialist providers in Idaho.

NPI age
15 years
↓ 3 yr below median (18 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2011 → 2026

2011-01Enumerated in NPPES
2011 2026

Where they practice

Practice location
6855 W Fairview Ave
Boise, ID 837048046
📞 2083238888fax 2083238889
Mailing address
6855 W Fairview Ave
Boise, ID 837048046
📞 2083238888fax 2083238889

Specialties

  • Specialist Primary
    An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
    ID license #OTL-1014 taxonomy 174400000X

Practice context

Part of a multi-provider practice. 40 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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