Alexis Niccum, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

027668 Issued in NY

Practice address

180 W 80TH St
New York, NY 10024-6378

Phone

(212) 579-2858

Fax

(212) 579-2853

NPI assigned

May 4, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Living Well Balanced Nyc Medical PLLC

  • Internal Medicine Physician
  • New York, NY
  • NPI 1316692379
  NPD
• New York Physical and Occupational Therapy Services, PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1356703631

  Occupational Therapist

  NPD
• Stern at Home Physical Therapy PC

  • Physical Medicine & Rehabilitation Physician
  • Pomona, NY
  • NPI 1720563380

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1683158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683244800000",
    "number": "1306535323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6225 RED FOX RD",
            "city": "PENDLETON",
            "state": "IN",
            "postal_code": "460649058",
            "telephone_number": "765-639-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 W 80TH ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100246378",
            "telephone_number": "212-579-2858",
            "fax_number": "212-579-2853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICCUM",
        "first_name": "ALEXIS",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-04",
        "last_updated": "2023-05-05",
        "certification_date": "2023-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "027668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kumara V Nibhanipudi, MD
• Danielle Jean Niblock
• Muireann Nic Eochaidh, PT, CHT
• Edouard Nicaise, MD
• Vanna Margarita Nicasio, PA
• Gabriella Lourdes Niceforo
• Charlie Nicely, MHC-LP
• Anna Maria Niceta, LMSW
• Ashley G Nichol, M.S. PA-C; CCC-SLP
• Kerryann Nichol

• Occupational Therapist in New York, NY
• Providers in New York, NY by specialty
• Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2023; 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.