Adam J. Nikkel, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056010094 Issued in IL

Practice address

2225 Lakeside Dr
Bannockburn, IL 60015-1265

Phone

(847) 234-0688

NPI assigned

Mar 25, 2013

Sex

Male

Sole proprietor

Yes

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 DE

Enrollment records 1

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.

• Easter Seals Delaware & Marylands Eastern Shore, Inc

  • Intellectual & Developmental Disabilities Psychologist
  • New Castle, DE
  • NPI 1437156635

  Occupational Therapist

  Medicare reassignment NPD
• Clinical Connections

  • Speech-Language Pathologist
  • Bannockburn, IL
  • NPI 1477728319

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1871835116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2413 GOLDENROD WAY",
            "city": "WAUCONDA",
            "state": "IL",
            "postal_code": "600845087",
            "telephone_number": "515-314-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2225 LAKESIDE DR",
            "city": "BANNOCKBURN",
            "state": "IL",
            "postal_code": "600151265",
            "telephone_number": "847-234-0688"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIKKEL",
        "first_name": "ADAM",
        "middle_name": "J.",
        "name_prefix": "Mr.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-25",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056010094",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "IL",
            "license": "056010094",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Momd LTD
• Payal Kirit Naik, M.D.
• Brent M Nathan, MD
• Kerri Lynn Nevin, PSY.D.
• Paul Edward Nevin, PSY.D.
• North Shore Cardiologists SC
• Carl A Nottoli, DC
• Offices of Richard S. Rock M D
• Gerald Jay Osher, M.D.
• Elizabeth Parent, MS, RD, LDN

• Occupational Therapist in Bannockburn, IL
• Providers in Bannockburn, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.