Active NPI
Nikki Marie Abbott, CTRS
- Recreation Therapist
- Comstock Park, MI
National Provider Identifier
1184294282
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Recreation Therapist
- License
- 82808
- Practice address
- 4837 Kittery St NW
Comstock Park, MI 49321-9305 - Phone
- (616) 334-0984
- NPI assigned
- Jun 30, 2021
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 82808 | MI | MD | Recreation Therapist |
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Recreation Therapist | 225800000X | 82808 | MI | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
4837 Kittery St NW
Comstock Park, MI 49321-9305
Mailing address
4837 Kittery St NW
Comstock Park, MI 49321-9305
Phone (616) 334-0984
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 30, 2021.
{
"created_epoch": "1625011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1184294282",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4837 KITTERY ST NW",
"city": "COMSTOCK PARK",
"state": "MI",
"postal_code": "493219305",
"telephone_number": "616-334-0984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4837 KITTERY ST NW",
"city": "COMSTOCK PARK",
"state": "MI",
"postal_code": "493219305",
"telephone_number": "616-334-0984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABBOTT",
"first_name": "NIKKI",
"middle_name": "MARIE",
"credential": "CTRS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-06-30",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225800000X",
"taxonomy_group": "",
"desc": "Recreation Therapist",
"state": "MI",
"license": "82808",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Comstock Park, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.