Individual provider Active NPI

Nicole Winston

  • Occupational Therapist
  • Staten Island, NY
National Provider Identifier
1487053013
Registry record updated Aug 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
018750-1 Issued in NY
Practice address
60 Poplar Ave
Staten Island, NY 10309-1615
Phone
(908) 616-0502
NPI assigned
Aug 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 018750-1 NY Primary
Pediatric Occupational Therapist 225XP0200X 018750-1 NY

Addresses

Primary practice location

60 Poplar Ave
Staten Island, NY 10309-1615

Mailing address

60 Poplar Ave
Staten Island, NY 10309-1615
Phone (908) 616-0502

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
018750-1NYMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Low Vision Works of Florida LLC Occupational Therapist CurrentSince Jun 1, 2024 Accepting new patients

Locations

3938 Tamiami Trl
Sarasota, FL 34231
Phone (866) 989-1114

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1408492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408492800000",
    "number": "1487053013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 POPLAR AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091615",
            "telephone_number": "908-616-0502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 POPLAR AVE",
            "city": "STATEN ISLAND",
            "state": "NY",
            "postal_code": "103091615",
            "telephone_number": "908-616-0502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WINSTON",
        "first_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-20",
        "last_updated": "2014-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "018750-1",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "018750-1",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Staten Island, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.