Nina R Incorvaia

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT.0005809 Issued in CO

Practice address

2794 Cheyenne Dr
Grand Junction, CO 81503-2870

Phone

(973) 476-6660

NPI assigned

Feb 8, 2019

Last updated

Dec 16, 2022By the provider in NPPES

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)

Not enrolled

State licenses

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.

• Outside the Box Pediatric Therapy, LLC

  • Occupational Therapist
  • Grand Junction, CO
  • NPI 1548174659
  Authorized official Same address or phone

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

{
    "created_epoch": "1549584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1336604800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2794 CHEYENNE DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815032870",
            "telephone_number": "973-476-6660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2794 CHEYENNE DR",
            "city": "GRAND JUNCTION",
            "state": "CO",
            "postal_code": "815032870",
            "telephone_number": "973-476-6660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3000 Goffs Falls Rd Ste 101",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031036109",
            "country_code": "US",
            "telephone_number": "800-995-2673",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8 Hillside Rd",
            "address_purpose": "LOCATION",
            "city": "Stockholm",
            "state": "NJ",
            "postal_code": "074601820",
            "country_code": "US",
            "telephone_number": "973-476-6660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "INCORVAIA",
        "first_name": "NINA",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-08",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0005809",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Identity Insights LLC
• Ihc Health Services Inc (Intermountain Women's Health Clinic-Grand Junction)
• Imagine Better Therapy LLC
• Rachelle Lynn Imlay
• Kayce Ann Imming, DPT
• Individual Matters LLC
• Zachary Ingersoll, DO
• Kimberley Kay Ingram, RPH
• Richard Kyle Inman, M.D.
• Inner Peace Respite Services (Inner Peace Respite Services, LLC)

• Occupational Therapist in Grand Junction, CO
• Providers in Grand Junction, CO by specialty
• Occupational Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; 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.