Individual provider Active NPI

Aftin Nichole Felkowski, OTR

  • Occupational Therapist
  • Duryea, PA
National Provider Identifier
1245063403
Registry record updated Aug 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
320 Edward St
Duryea, PA 18642-1200
Phone
(570) 540-9306
NPI assigned
Aug 22, 2024
Last updated
Aug 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

320 Edward St
Duryea, PA 18642-1200

Mailing address

320 Edward St
Duryea, PA 18642-1200
Phone (570) 540-9306

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241031000642 PA Practitioner - Occupational Therapist in Private Practice 8224561147 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cip Rehabilitation IncGroup PAC ID 4789932104, 46 clinicians

Practice addresses (Care Compare)

64 Ridgway Dr
Suite 1
Dallas, PA 18612-9263
Phone (570) 255-4578

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cip Rehabilitation Inc Occupational Therapist CurrentSince Aug 23, 2024 Accepting new patients
Well-Nurtured Development Occupational Therapist Past Accepting new patients

Locations

64 Ridgway Dr
#1
Dallas, PA 18612
Phone (570) 255-4578

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1724284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724371200000",
    "number": "1245063403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "320 EDWARD ST",
            "city": "DURYEA",
            "state": "PA",
            "postal_code": "186421200",
            "telephone_number": "570-540-9306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "320 EDWARD ST",
            "city": "DURYEA",
            "state": "PA",
            "postal_code": "186421200",
            "telephone_number": "570-540-9306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FELKOWSKI",
        "first_name": "AFTIN",
        "middle_name": "NICHOLE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-22",
        "last_updated": "2024-08-23",
        "certification_date": "2024-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duryea, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.