Nicole R Vige, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

4901 W Fairfield Dr
Pensacola, FL 32506-4111

Phone

(850) 458-7735

NPI assigned

Jul 17, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Niki Knerr Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1531785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531785600000",
    "number": "1730665308",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "961 BROKEN ARROW LN",
            "city": "CANTONMENT",
            "state": "FL",
            "postal_code": "325333827",
            "telephone_number": "831-238-0880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 W FAIRFIELD DR",
            "city": "PENSACOLA",
            "state": "FL",
            "postal_code": "325064111",
            "telephone_number": "850-458-7735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIGE",
        "first_name": "NICOLE",
        "middle_name": "R",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-17",
        "last_updated": "2018-07-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKI",
            "last_name": "KNERR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Occupational Therapist in Pensacola, FL
• Providers in Pensacola, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2018; 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.