Kristine Sikorski, OCCUPATIONAL THERAPI

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

31000883A Issued in IN

Practice address

2020 Meridian St Ste 170
Anderson, IN 46016-4343

Phone

(765) 646-8663

Fax

(765) 683-3239

NPI assigned

Jun 26, 2007

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• St. Vincent Anderson Regional Hospital, Inc.

  • Durable Medical Equipment & Medical Supplies
  • Anderson, IN
  • NPI 1427480029
  NPD (past)

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728432000000",
    "number": "1780880682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6899 S 300 E",
            "city": "MARKLEVILLE",
            "state": "IN",
            "postal_code": "460569749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 MERIDIAN ST STE 170",
            "city": "ANDERSON",
            "state": "IN",
            "postal_code": "460164343",
            "telephone_number": "765-646-8663",
            "fax_number": "765-683-3239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIKORSKI",
        "first_name": "KRISTINE",
        "name_prefix": "Ms.",
        "credential": "OCCUPATIONAL THERAPI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-26",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IN",
            "license": "31000883A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200620160",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vadim Shinkevich
• McKayla Ann Shock, RBT
• Amy Shofner, MA, CF-SLP
• Thomas M Short, MD
• Stephanie Jean Shunneson, SLP
• David Sills
• Eboney Simonds
• Wyatt Simpson, PHARMACIST
• Jason C. Sims, D.D.S.
• Shelby Sink

• Occupational Therapist in Anderson, IN
• Providers in Anderson, IN by specialty
• Occupational Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; 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.