Active NPI 1104947449 Individual Practitioner Female Practitioner

Carla Sue Nicholas , OT

Occupational Therapist • Boardman, OH

Professional Overview & Biography Verified Profile Summary

Carla Nicholas, OT is a registered healthcare professional specializing in Occupational Therapist in Boardman, OH. Practice services are available at 7620 SOUTHERN BLVD under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, therapy procedure using manual technique, each, therapy procedure to re-educate brain-to-nerve-to-muscle function, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

7620 Southern Blvd
Ste 3

Boardman, OH 445125667

Telephone 3309659330

Fax 3309659308

Associated Practice Facility / Clinic

🏢 Southwoods Rehabilitation Llc Facility NPI 1528477288

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapist in Boardman, OH

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 16.5 Yrs

State Avg: 14.7 Yrs

Regional Practice Density

21 Specialists

Practicing in Boardman, OH (4502 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

65.0% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2022)

Reporting Year:

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	120	14	$61.00	$21.46
97140 Therapy procedure using manual technique, each 15 minutes	64	13	$56.00	$19.50

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	1,739	52	$61.00	$23.33
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,079	36	$70.00	$29.60
97140 Therapy procedure using manual technique, each 15 minutes	786	31	$56.00	$21.50
97530 Therapy procedure using functional activities	486	44	$77.00	$33.70
97535 Training for self-care or home management, each 15 minutes	214	41	$68.00	$27.11
97165 Evaluation for occupational therapy, typically 30 minutes	37	35	$179.00	$94.62
97166 Evaluation of occupational therapy, typically 45 minutes	17	15	$178.00	$95.15

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97530 Therapy procedure using functional activities	1,196	48	$67.16	$31.46
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	808	41	$72.38	$23.94
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	574	25	$59.52	$28.36
97140 Therapy procedure using manual technique, each 15 minutes	419	17	$73.20	$22.60
97124 Therapy procedure using massage, each 15 minutes	179	15	$74.10	$22.51
97535 Training for self-care or home management, each 15 minutes	87	12	$72.64	$26.66
97165 Evaluation for occupational therapy, typically 30 minutes	32	31	$145.97	$88.30

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97530 Therapy procedure using functional activities	4,207	71	$50.00	$29.56
97140 Therapy procedure using manual technique, each 15 minutes	1,657	36	$45.00	$22.30
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	612	13	$50.00	$27.78
97165 Evaluation for occupational therapy, typically 30 minutes	75	69	$125.00	$87.34
97166 Evaluation of occupational therapy, typically 45 minutes	14	13	$185.00	$87.59

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	1,907	31	$50.00	$27.04
97140 Therapy procedure using manual technique, each 15 minutes	1,581	38	$45.00	$21.99
97530 Therapy procedure using functional activities	1,395	49	$50.00	$29.72
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes	193	13	$50.00	$24.51
97535 Training for self-care or home management, each 15 minutes	123	18	$50.00	$27.42
97165 Evaluation for occupational therapy, typically 30 minutes	58	54	$125.00	$84.57
97168 Re-evaluation for occupational therapy, typically 30 minutes	42	29	$75.00	$57.98
97166 Evaluation of occupational therapy, typically 45 minutes	20	17	$185.00	$85.46

HCPCS Code & Description	Services	Patients	Submitted Charge	Medicare Allowed
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes	2,434	39	$50.00	$25.81
97140 Therapy procedure using manual technique, each 15 minutes	1,545	41	$44.97	$23.35
97530 Therapy procedure using functional activities	394	17	$50.00	$26.53
97535 Training for self-care or home management, each 15 minutes	335	27	$50.00	$27.46
97165 Evaluation for occupational therapy, typically 30 minutes	37	36	$125.00	$84.85
97166 Evaluation of occupational therapy, typically 45 minutes	28	28	$185.00	$76.18
97168 Re-evaluation for occupational therapy, typically 30 minutes	14	12	$75.00	$54.60

Medical Specialties & State Licenses

CMS Verified: 2025-12-16

Occupational Therapist Primary Specialty

NUCC Taxonomy Code: 225X00000X

State License OH OT003869

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist 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. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID

0956112 (OH)

Secondary Practice Locations

7630 Southern Blvd

Youngstown, OH 445125633

Phone: 3307298262

250 Debartolo Pl Ste 1100

Youngstown, OH 445127004

Phone: 2342876660

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners

Kimberly Macdonald

Speech-Language Pathologist

NPI 1164655122

Shana Dipiero , ST

Speech-Language Pathologist

NPI 1184852170

Sheri Owen , PT

Physical Therapist

NPI 1215291430

Physical Therapist

Emmanuelle Genna , PT

Physical Therapist

NPI 1316190036

Physical Therapist

Kenneth Johnson , PT

Physical Therapist

NPI 1316254725

Physical Therapist

Ryan Tessean , PT

Physical Therapist

NPI 1316937824

Physical Therapist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events

📍

Updated Business Mailing Address December 16, 2025

Registered at 1397 S CANFIELD NILES RD UNIT 1, AUSTINTOWN, OH 445154084 (Tel: 3309530129)

👤

Provider Name / Credentials Updated April 09, 2024

Recorded as CARLA NICHOLAS, OT

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) April 09, 2024

Occupational Therapist (License #OT003869 in OH)

✅

NPI Profile Active November 30, 2016

NPI status registered as active in NPPES database

📍

Updated Practice Location November 30, 2016

Registered at 7620 SOUTHERN BLVD, STE 3, BOARDMAN, OH 445125667 (Tel: 3309659330)

📍

Updated Business Mailing Address November 30, 2016

Registered at 1397 S CANFIELD NILES RD, UNIT 1, AUSTINTOWN, OH 445154084 (Tel: 3309530129)

👤

Provider Name / Credentials Updated November 30, 2016

Recorded as CARLA NICHOLAS, OCCUPATIONAL THERAPI

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) November 30, 2016

Occupational Therapist (License #OT-03869 in OH)

🟢

Initial NPI Registration & Enumeration April 03, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1104947449

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: April 03, 2007

Last Update: December 16, 2025

Sole Proprietor: No

Update or Correct Profile

Mailing Address

1397 S Canfield Niles Rd Unit 1

Austintown, OH 445154084

Phone: 3309530129

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.