Nicole Elledge, OTR
NPI 1003075417ActiveIndividual· Occupational Therapist· Lake Oswego, OR
Occupational Therapist (OTR) with Tsl Well LLC, practicing in Lake Oswego, Oregon. Medicare paid $77,456 for services to 52 patients in 2024.
Overview
| NPI | 1003075417 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR |
| Sole proprietor | Yes |
| NPI issued | Jun 2, 2008 |
| Last updated in NPPES | May 6, 2022 |
| Certified by provider | May 6, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 1060547 | OR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (OR) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 52 |
|---|---|
| Services billed | 3,312 across 11 procedure codes |
| Paid by Medicare | $77,456 |
Education and affiliations
| Graduation year | 2002 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Tsl Well LLCLake Oswego, OR · 12 clinicians
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