Provider Demographics
NPI:1801100565
Name:PILEGGI, NICOLE D (OTR/L)
Entity type:Individual
Prefix:MS
First Name:NICOLE
Middle Name:D
Last Name:PILEGGI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:488 AUTEN RD
Mailing Address - Street 2:UNIT 1D
Mailing Address - City:HILLSBOROUGH
Mailing Address - State:NJ
Mailing Address - Zip Code:08844-5053
Mailing Address - Country:US
Mailing Address - Phone:215-589-0839
Mailing Address - Fax:
Practice Address - Street 1:14 WORLDS FAIR DR
Practice Address - Street 2:SUITE M
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873-1364
Practice Address - Country:US
Practice Address - Phone:732-356-5363
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-08-04
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT - 007413225XP0200X
NJ46TR00553200225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics