Nicole Kilijanczyk, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTH-009674 Issued in AZ

Practice address

5700 E Pima St Ste G
Tucson, AZ 85712-5638

Phone

(520) 232-2021

NPI assigned

Apr 9, 2018

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Other names 1

• Miss Nicole Jeschelnig Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Therapy Solutions LTD

  • Developmental Disabilities Clinic/Center
  • Cleveland, OH
  • NPI 1598194300
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1523232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728345600000",
    "number": "1124525852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1831 W ROSE GARDEN LN STE 4",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850272725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 E PIMA ST STE G",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857125638",
            "telephone_number": "520-232-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KILIJANCZYK",
        "first_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-09",
        "last_updated": "2024-10-08",
        "certification_date": "2024-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT010141",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AZ",
            "license": "OTH-009674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "JESCHELNIG",
            "prefix": "MISS",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kevin Christopher Kiley, M.D.
• Khin Pyaesone Kilgore, MD
• Marylyn E. Kilgore
• Sarah Sabrine Kilic, MD
• Suat Dursun Kilic, MD
• Ashley N Kiliona Kalawaianui
• Michael Killebrew, D.D.S.
• David Paul Killen, D.D.S.
• Amber Killgore
• Andrew Morgan Killom

• Occupational Therapist in Tucson, AZ
• Providers in Tucson, AZ by specialty
• Occupational Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.