Active NPI
Yvette Labajo Golicki
- Occupational Therapist
- Dixon, MO
National Provider Identifier
1992997852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2005032412
- Practice address
- 106 W Fourth St
Dixon Reorgaized Distr R-1
Dixon, MO 65459-0166 - Phone
- (573) 759-7149
- Fax
- (573) 759-2952
- NPI assigned
- Aug 15, 2007
- Last updated
- May 15, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2005032412 | MO | Primary |
Addresses
Primary practice location
106 W Fourth St
Dixon Reorgaized Distr R-1
Dixon, MO 65459-0166
Mailing address
1113 Highland Dr
Rolla, MO 65401-3604
Phone (573) 466-7001
Other names 1
- Yvette Golicki
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
12399 Gravois Rd
Saint Louis, MO 63127-1736
Phone (337) 310-8500
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2005032412 | MO | MD | Occupational Therapist |
Organizations & group practices 1
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.
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- NPI 1427466614
MO
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187136000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778803200000",
"number": "1992997852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 HIGHLAND DR",
"city": "ROLLA",
"state": "MO",
"postal_code": "654013604",
"telephone_number": "573-466-7001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 W FOURTH ST",
"address_2": "DIXON REORGAIZED DISTR R-1",
"city": "DIXON",
"state": "MO",
"postal_code": "654590166",
"telephone_number": "573-759-7149",
"fax_number": "573-759-2952"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOLICKI",
"first_name": "YVETTE",
"middle_name": "LABAJO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-08-15",
"last_updated": "2026-05-15",
"certification_date": "2026-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2005032412",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "YVETTE",
"last_name": "GOLICKI",
"credential": "OT",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Dixon, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2026; 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.