Nichole Vaiknoras, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

46TR01076000 Issued in NJ

Practice address

277 Prospect Ave
Hackensack, NJ 07601-2512

Phone

(201) 968-0303

NPI assigned

Mar 8, 2010

Sex

Female

Sole proprietor

No

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.

• Premier Health Center, P.C.

  • Physical Therapist
  • Hackensack, NJ
  • NPI 1134170103

  NJ

  Medicare reassignment Care Compare group NPD
• Prospect Medical PC

  • Internal Medicine Physician
  • Hackensack, NJ
  • NPI 1346365905
  NPD (past)
• Pioneer Valley Wellness, Inc.

  • Massage Therapist
  • East Longmeadow, MA
  • NPI 1467775262
  NPD (past)

Specialty

Occupational Therapist in Private Practice

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Health Center, P.C. 5 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in NJ

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

Specialties & licenses 3

Addresses

Other identifiers 1

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

{
    "created_epoch": "1268006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670716800000",
    "number": "1306169115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012512",
            "telephone_number": "201-968-0303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 PROSPECT AVE",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076012512",
            "telephone_number": "201-968-0303"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 S Orange Blossom Trl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32809",
            "country_code": "US",
            "telephone_number": "407-280-3776",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "80 Center Sq",
            "address_purpose": "LOCATION",
            "city": "East Longmeadow",
            "state": "MA",
            "postal_code": "010282449",
            "country_code": "US",
            "telephone_number": "413-525-4456",
            "fax_number": "413-647-1134",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6900 S Orange Blossom Trl Ste 101",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "32809",
            "country_code": "US",
            "telephone_number": "407-280-3776",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VAIKNORAS",
        "first_name": "NICHOLE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-03-08",
        "last_updated": "2022-12-11",
        "certification_date": "2022-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "MA",
            "license": "6772",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "NJ",
            "license": "46TR01076000",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OTT19652",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA DEPARTMENT OF HEALTH",
            "identifier": "OTT19652",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• V&J Care, LLC
• Tina Grace Vacante, MSN, FNP-BC, RN-BC
• Krystina Maria Vafiadis
• Ami P. Vaidya, MD
• Pranaychandra J Vaidya, M.D., F.A.C.C.
• Michael Joseph Vaillancourt, MSW, ED.M.
• Monet Rose Vala, PA-C
• Victor Valda, MD
• Karen Valdez-Gonzalez, M.S.
• Anitha Valel

• All providers in Hackensack, NJ
• Physical Rehabilitation Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2022; 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.