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 & Directions
Mrs. 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 NumberSpecializationStateStatus
OT003869Occupational Therapy OhioPrimary
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.
IdentifierTypeStateIssuer
0956112MedicaidOhio
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.