Active NPIIndividual provider

Kristie Nickerson, MS OTR/L

Occupational Therapist in Orangeburg, South Carolina

NPI Number1851773071
Practice location
119 Office Park Dr, Orangeburg, SC 29118-2407
Fax
—
Last updated
December 13, 2017

Kristie Nickerson is an Occupational Therapist based in Orangeburg, SC. Kristie Nickerson practices in Orangeburg, SC and has the professional credentials of MS OTR/L. The NPI Number for Kristie Nickerson is 1851773071 and holds a License No. OT 3011 (ME). The current practice location address for Kristie Nickerson is 119 Office Park Dr, Orangeburg, SC 29118-2407 and can be reached out via phone at 803-536-5509.

Provider Profile Details

NPI Number
1851773071
Provider Name
Kristie Nickerson
Credential
MS OTR/L
Provider Entity Type
Individual
Gender
Female
Address
119 Office Park Dr, Orangeburg, SC 29118-2407
Phone Number
803-536-5509
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
No
Provider Enumeration Date
June 24, 2015
Last Update Date
December 13, 2017
NPI Status
Active

Provider Business Practice Location Address Details

Address
119 Office Park Dr
Orangeburg, SC 29118-2407
Zip
29118-2407
Phone Number
803-536-5509
Orangeburg, SC 29118Get directions →

Provider Business Mailing Address Details

Address
34 Loon Dr
Topsham, ME 04086-1538
City
Topsham
State
ME
Zip
04086-1538
Phone Number
207-837-4447

License Information

License Number (1)
OT 3011
License State (1)
ME
Taxonomy (1)
Occupational Therapist, Pediatrics · 225XP0200X
License Number (2)
4040
License State (2)
SC
Taxonomy (2)
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kristie Nickerson, MS OTR/L?

The NPI number of Kristie Nickerson, MS OTR/L is 1851773071. It was assigned on June 24, 2015 and is currently active in the NPPES registry.

What is the specialty of Kristie Nickerson, MS OTR/L?

Kristie Nickerson, MS OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in ME under license number OT 3011.

Where does Kristie Nickerson, MS OTR/L practice?

The practice location is 119 Office Park Dr, Orangeburg, SC 29118-2407. The office can be reached at 803-536-5509 (phone).

What is an NPI number?

A National Provider Identifier (NPI) 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). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1851773071 directly on the NPPES registry website.

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