Kristie Nickerson, MS OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4040 Issued in SC

Practice address

119 Office Park Dr
Orangeburg, SC 29118-2407

Phone

(803) 536-5509

NPI assigned

Jun 24, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southern Lakes Therapy LLCGroup PAC ID 3779711031, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

84.61 of 100Reported as group

Quality

80

Improvement activities

40

Cost

75.36

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

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.

• Southern Lakes Therapy LLC

  • Physical Therapist
  • Manning, SC
  • NPI 1700212420

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Greenville Proaxis Therapy, LLC

  • Physical Therapist
  • Greenville, SC
  • NPI 1669457859

  Occupational Therapist

  Medicare reassignment NPD
• Greenville Proaxis Therapy LLC

  • Durable Medical Equipment & Medical Supplies
  • Greenville, SC
  • NPI 1740052000

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1513123200000",
    "number": "1851773071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 LOON DR",
            "city": "TOPSHAM",
            "state": "ME",
            "postal_code": "040861538",
            "telephone_number": "207-837-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 OFFICE PARK DR",
            "city": "ORANGEBURG",
            "state": "SC",
            "postal_code": "291182407",
            "telephone_number": "803-536-5509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICKERSON",
        "first_name": "KRISTIE",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2017-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "ME",
            "license": "OT 3011",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4040",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Beginnings Diabetic & Homecare Services, Inc
• New Hope Group LLC
• Sean Newbry
• Briana Newman, ATC
• Next Level Counseling & Consulting
• Mary Helen Niemeyer, M.D.
• Molly Norman, PHARMD
• Northeast Psychiatric Associates
• Nra-Orangeburg, South Carolina, LLC
• Nurturing Touch Homecare LLC

• Occupational Therapist in Orangeburg, SC
• Providers in Orangeburg, SC by specialty
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2017; 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.