MEDICARE: NICOLE ESSLEY CLEMENTS OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	124666	TX

General Provider Information

NPI Number	:	1528803111
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NICOLE ESSLEY CLEMENTS OTR

Provider Business Mailing Address
First Line	:	13675 NOEL RD APT 326
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75240-4796
Country	:	US
Telephone Number	:	210-240-4325
Fax Number	:

Provider Business Practice Location Address
First Line	:	3501 JUNIUS ST
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75246-2021
Country	:	US
Telephone Number	:	214-820-2683
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/26/2024
Last Update Date	:	06/26/2024

Similar Medicare Providers

1942989876 — SIHAM SHERIF
Practice Location Address:

3501 JUNIUS ST
DALLAS, TX
75246-2021

Practice Phone: 214-820-2683
Practice Fax:

1437927928 — ALYSSA LOUISE PARFREY
Practice Location Address:

3501 JUNIUS ST
DALLAS, TX
75246-2021

Practice Phone: 214-820-2683
Practice Fax:

1730050782 — VICTORIA GONZALEZ DPT
Practice Location Address:

3501 JUNIUS ST
DALLAS, TX
75246-2021

Practice Phone: --
Practice Fax:

1851415459 — MRS. MALINDA MAE ELLIOTT
Practice Location Address:

701 HICKORY CT
DALLAS CENTER, IA
50063-2021

Practice Phone: 515-992-3907
Practice Fax:

1508587197 — ALLISON SARA VIATOR ATR-P, LPC-ASSOCIATE
Practice Location Address:

15905 BENT TREE FOREST CIR APT 2021
DALLAS, TX
75248-3403

Practice Phone: 806-239-8332
Practice Fax:

1619713120 — JENUS SARVI
Practice Location Address:

5940 FOREST PARK RD APT 2021
DALLAS, TX
75235-6447

Practice Phone: 713-447-3219
Practice Fax:

Directions to “ NICOLE ESSLEY CLEMENTS OTR” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.