Ivonne Nikirk, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

000756-1 Issued in NY

Practice address

164 Hickory LN
Smithtown, NY 11787-4429

Phone

(631) 724-3231

Fax

(631) 724-3231

NPI assigned

Jan 24, 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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ivonne Nikirk OT PC

  • Pediatric Occupational Therapist
  • Smithtown, NY
  • NPI 1689951006
  NPD (past) Authorized official

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342396800000",
    "number": "1841345154",
    "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": {
        "last_name": "NIKIRK",
        "first_name": "IVONNE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-24",
        "last_updated": "2012-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "000756-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New York Spine Care Medical, PC
• Andrean Newland
• Nick H Gabriel DO PC
• Kirk Matthew Niemann, PHYSICAL THERAPIST
• Karen Joan Nigro
• Phani R Nimmagadda, M.D
• Perrine C Nixon, NP
• Melissa Ann Nocella-Thakkar, RPA-C
• Jennifer Noll, LPN
• Dorothy Nollman, MSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2012; 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.