Individual provider Active NPI

Nikki J Demaine, OTR, MBA

  • Occupational Therapist
  • Bluffton, SC
National Provider Identifier
1942446216
Registry record updated Dec 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
003510 Issued in CT
Practice address
29 Whiteoaks Cir
Bluffton, SC 29910-5700
Phone
(866) 458-1088
NPI assigned
Dec 17, 2008
Last updated
Dec 17, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 17, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 003510 CT Primary

Addresses

Primary practice location

29 Whiteoaks Cir
Bluffton, SC 29910-5700

Mailing address

29 Whiteoaks Cir
Bluffton, SC 29910-5700
Phone (866) 458-1088

Other names 1

  • Nikki Segal Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Business Administration

State licenses

LicenseStateTypeSpecialty
003510CTMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1229472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229472000000",
    "number": "1942446216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29 WHITEOAKS CIR",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105700",
            "telephone_number": "866-458-1088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29 WHITEOAKS CIR",
            "city": "BLUFFTON",
            "state": "SC",
            "postal_code": "299105700",
            "telephone_number": "866-458-1088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMAINE",
        "first_name": "NIKKI",
        "middle_name": "J",
        "credential": "OTR, MBA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-12-17",
        "last_updated": "2008-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "003510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NIKKI",
            "last_name": "SEGAL",
            "credential": "OTR",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bluffton, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2008; 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.