Vicki Ciborek, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

007525 Issued in OH

Practice address

140 Bermont Ave
Munroe Falls, OH 44262-1104

Phone

(330) 800-8921

NPI assigned

Dec 22, 2014

Sex

Female

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Vicki Geis Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 14, 2024.

{
    "created_epoch": "1419206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1962890194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 BERMONT AVE",
            "city": "MUNROE FALLS",
            "state": "OH",
            "postal_code": "442621104",
            "telephone_number": "330-800-8921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 BERMONT AVE",
            "city": "MUNROE FALLS",
            "state": "OH",
            "postal_code": "442621104",
            "telephone_number": "330-800-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIBOREK",
        "first_name": "VICKI",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-12-22",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "1306",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "007525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "VICKI",
            "last_name": "GEIS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark J Brady, DC
• Jordan Elizabeth Breedlove, LPCC-S
• Regina Brennan
• Rachel S Bright, D.D.S.
• Shelby Paige Cheatwood
• Melinda Ruth Ciccarelli
• City of Munroe Falls
• City of Munroe Falls
• Community Connections
• Community Consultants

• All providers in Munroe Falls, OH
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 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.