Kelby Renee Nicholson, COTA
NPI 1174126338ActiveIndividual· Occupational Therapy Assistant· West Memphis, AR
Occupational Therapy Assistant (COTA) in West Memphis, Arkansas, licensed in AR, with an NPI issued in November 2020.
Overview
| NPI | 1174126338 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | COTA |
| Sole proprietor | Yes |
| NPI issued | Nov 19, 2020 |
| Last updated in NPPES | Nov 19, 2020 |
| Certified by provider | Nov 19, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | OT-A1668 | AR |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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