Nicole Di Ponio

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201012693 Issued in MI

Practice address

261 Mack Ave
Detroit, MI 48201-2495

Phone

(313) 745-1203

Fax

(313) 745-0476

NPI assigned

Oct 30, 2024

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

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Skills Community Rehabilitation and Associates LLCGroup PAC ID 3678724028, 18 clinicians

Practice addresses (Care Compare)

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.

• Life Skills Community Rehabilitation & Associates LLC

  • Occupational Therapist
  • Ann Arbor, MI
  • NPI 1871722207
  Medicare reassignment Care Compare group NPD
• Life Skills Community Rehabilitation & Associates LLC

  • Clinical Social Worker
  • Ann Arbor, MI
  • NPI 1699624718
  NPD

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

{
    "created_epoch": "1730246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1629890686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "261 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012495",
            "telephone_number": "313-745-1203",
            "fax_number": "313-745-0476"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012495",
            "telephone_number": "313-745-1203",
            "fax_number": "313-745-0476"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DI PONIO",
        "first_name": "NICOLE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201012693",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rajesh Singh Dhillon, M.D.
• Amreen Dhindsa, MD
• Jamil Ericka Dhue, LMSW
• Sarah Dhuhair
• Dhupati Sitaram, M.D., P.C.
• Ali Elias Dia, FNP-BC
• Alaa Diab, MD
• Hussein Diab
• Maria Diab
• Diagnostic Evaluation Services, PLLC

• Occupational Therapist in Detroit, MI
• Providers in Detroit, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.