Anna Nikitscher, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

057002806 Issued in IL

Practice address

515 Pueblo Dr
New Lenox, IL 60451-5621

Phone

(708) 220-5872

NPI assigned

Dec 8, 2011

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

Other names 1

• Mrs. Anna Hidalgo Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473379200000",
    "number": "1497023261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 PUEBLO DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604515621",
            "telephone_number": "708-220-5872"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 PUEBLO DR",
            "city": "NEW LENOX",
            "state": "IL",
            "postal_code": "604515621",
            "telephone_number": "708-220-5872"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKITSCHER",
        "first_name": "ANNA",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2016-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "IL",
            "license": "057002806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNA",
            "last_name": "HIDALGO",
            "prefix": "MRS.",
            "credential": "COTA/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• NGX Illinois SC
• Nicole Graves, DDS, PC
• Hollie Ann Nieland, FNP-BC
• James T Niemeyer, DO
• Megan Kathleen Niemiec, MSN, FNP-BC
• Amanda L Noel
• Gabriel Noguez, PT, CSST, CKTP
• Northern Illinois Imaging Services LTD
• Jennifer Marie Nyder, DT
• Denise O'Brien, P.T.

• Occupational Therapy Assistant in New Lenox, IL
• Providers in New Lenox, IL by specialty
• Occupational Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2016; 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.