Individual provider Active NPI

Yvette Labajo Golicki

  • Occupational Therapist
  • Dixon, MO
National Provider Identifier
1992997852
Registry record updated May 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2005032412 Issued in MO
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
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2026

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 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 Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260526003339 MO Practitioner - Occupational Therapist in Private Practice 8224508734 Reassigns benefits to 1 organization

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
Synergy Care Southeast LLCGroup PAC ID 6204079163, 193 clinicians

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

LicenseStateTypeSpecialty
2005032412MOMDOccupational 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.