Healthcare Provider Details

I. General information

NPI: 1184211229
Provider Name (Legal Business Name): NICOLE ANN ARMSTRONG MOT, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/23/2020
Last Update Date: 07/10/2026
Certification Date: 07/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4620 LANGSTON BLVD. #215
ARLINGTON VA
22201
US

IV. Provider business mailing address

1200 N HARTFORD ST APT 106
ARLINGTON VA
22201-7017
US

V. Phone/Fax

Practice location:
  • Phone: 703-243-4600
  • Fax:
Mailing address:
  • Phone: 718-614-7606
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number024811
License Number StateNY
# 2
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number0119009052
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: