Nicole Mieczkowski, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

021124-1 Issued in NY

Practice address

14 Carlisle Dr
Farmingville, NY 11738-2326

Phone

(631) 707-1059

NPI assigned

Jan 9, 2017

Sex

Female

Sole proprietor

Yes

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

Enrolled in SC

Enrollment records 1

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.

• Fox Rehabilitation Services of South Carolina, LLC

  • Physical Therapist
  • Lexington, SC
  • NPI 1902133689

  Occupational Therapist

  Medicare reassignment NPD
• Paragon Outpatient Rehabilitation Services, LLC

  • Rehabilitation Clinic/Center
  • Louisville, KY
  • NPI 1871867325

  SC

  Medicare reassignment NPD
• Pattisons D R E a M Academy

  • Rehabilitation Clinic/Center
  • Charleston, SC
  • NPI 1861678534
  Medicare reassignment NPD
• Paragon Outpatient Rehabilitation Services, LLC

  • Rehabilitation Clinic/Center
  • Roxboro, NC
  • NPI 1245014380
  NPD

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

{
    "created_epoch": "1483920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483920000000",
    "number": "1356887863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 CARLISLE DR",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382326",
            "telephone_number": "631-707-1059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 CARLISLE DR",
            "city": "FARMINGVILLE",
            "state": "NY",
            "postal_code": "117382326",
            "telephone_number": "631-707-1059"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIECZKOWSKI",
        "first_name": "NICOLE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-01-09",
        "last_updated": "2017-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "021124-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daisy Medina-Kreppein, NURSE PRACTITIONER
• Andrew Melin, RPH
• Christina Mellor
• Angela Marie Mercado
• Thomas Frank Miceli, D.C.
• Aleksia Mirabella, BA OF SCIENCE
• Anam Mohiuddin
• Maria D Montalbano Scorzelli, P.A.
• Meghan Montgomery
• Amelia Marie Montleon, BA

• Occupational Therapist in Farmingville, NY
• Providers in Farmingville, 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 Jan 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.