Ivonne Nikirk OT PC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

000756-1 Issued in NY

Legal business name

IVONNE NIKIRK OT PC

Practice address

164 Hickory LN
Smithtown, NY 11787-4429

Phone

(631) 724-3231

Fax

(631) 724-3231

NPI assigned

Nov 14, 2011

Last updated

Nov 14, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Ivonne Nikirk, OTRNPI 1841345154

Title

President

Phone

(631) 724-3231

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ivonne Nikirk, OTR

  • Occupational Therapist
  • Smithtown, NY
  • NPI 1841345154
  NPD (past) Authorized official

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

{
    "created_epoch": "1321228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321228800000",
    "number": "1689951006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "164 HICKORY LN",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874429",
            "telephone_number": "631-724-3231",
            "fax_number": "631-724-3231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "164 HICKORY LN",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117874429",
            "telephone_number": "631-724-3231",
            "fax_number": "631-724-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVONNE NIKIRK OT PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-14",
        "last_updated": "2011-11-14",
        "status": "A",
        "authorized_official_last_name": "NIKIRK",
        "authorized_official_first_name": "IVONNE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-724-3231",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NY",
            "license": "000756-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in Smithtown, NY
• Providers in Smithtown, NY by specialty
• Pediatric Occupational Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2011; 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.