Individual provider Active NPI

Vicki J Bartnicki, C.O.T.A.

  • Occupational Therapy Assistant
  • Monroe, MI
National Provider Identifier
1538344338
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
5202005519 Issued in MI
Practice address
610 W Elm Ave
Monroe, MI 48162-7909
Phone
(734) 240-9670
NPI assigned
Dec 31, 2007
Last updated
Dec 31, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5202005519 MI Primary

Addresses

Primary practice location

610 W Elm Ave
Monroe, MI 48162-7909

Mailing address

27134 Mayfair Ave
Brownstown TWP, MI 48183-4867

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
5202005519MIMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199059200000",
    "number": "1538344338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27134 MAYFAIR AVE",
            "city": "BROWNSTOWN TWP",
            "state": "MI",
            "postal_code": "481834867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 W ELM AVE",
            "city": "MONROE",
            "state": "MI",
            "postal_code": "481627909",
            "telephone_number": "734-240-9670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTNICKI",
        "first_name": "VICKI",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "C.O.T.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202005519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; 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.