Mrs. Carla Sue Nicholas
OT | Occupational Therapist | 34+ years Exp
7620 Southern Blvd, Ste 3, Boardman
Ohio, 44512-5667
330-965-9330 330-965-9308
Maps & DirectionsMrs. Carla Sue Nicholas is a Boardman, Ohio based therapist with 34 years of experience in Occupational Therapy. She completed her graduation in 1992. She accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Mrs. Carla Sue Nicholas is OT003869 for Occupational Therapy in Ohio. Her current practice location is 7620 Southern Blvd, Ste 3, Boardman. Patients can reach her at 330-965-9330 or can fax her at 330-965-9308. Mrs. Carla Sue Nicholas is OT in Occupational Therapy and her NPI number (Unique professional ID assigned by NPPES) is 1104947449.
Mrs. Carla Sue Nicholas provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction.
Complete Profile:
Mrs. Carla Sue Nicholas speciality, credentials, practice address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointment.
| Name: | Mrs. Carla Sue Nicholas |
| Specialization: | Occupational Therapy |
| Gender: | Female |
| Credentials: | OT |
| Experience: | 34+ years |
| Medical School Attended: | Other |
| Graduation Year: | 1992 |
| Accepts Medicare Assignment: | Yes |
| Practice Address: | 7620 Southern Blvd, Ste 3, Boardman, Ohio, 44512-5667 |
| Phone: | 330-965-9330 |
| Fax: | 330-965-9308 |
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
| PAC ID: | 4082796685 |
| Enrollment ID: | I20080204000456 |
| NPI Number: | 1104947449 |
| NPI Enumeration Date: | 03 Apr, 2007 |
| NPI Last Update On: | 16 Dec, 2025 |
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mrs. Carla Sue Nicholas are as mentioned below.
| License Number | Specialization | State | Status | |
| OT003869 | Occupational Therapy | Ohio | Primary | |
Group Practice:
Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name
with which Mrs. Carla Sue Nicholas is associated with along with the number of members in that group.
| Organization Name (Group PAC ID) | Members |
| Tudor Home Therapies Inc (1850290644) | 29 |
Other Medical Identifiers:
Other legacy medical identifiers associated with Mrs. Carla Sue Nicholas such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
| Identifier | Type | State | Issuer |
| 0956112 | Medicaid | Ohio | |
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
| Address: | Mrs. Carla Sue Nicholas 1397 S Canfield Niles Rd Unit 1, Austintown, Ohio |
| Zip: | 44515-4084 |
| Phone Number: | 330-953-0129 |
| Fax Number: | 330-953-0650 |
Patients can reach Mrs. Carla Sue Nicholas at
7620 Southern Blvd, Ste 3, Boardman, Ohio or can
call to book an appointment on 330-965-9330.
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Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 March, 2026.