KRISTIE NICKERSON (NPI# 1851773071) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851773071 |
| Entity Type | Individual |
| Full Name | KRISTIE NICKERSON |
| Credential | MS OTR/L |
| Practice Address |
119 Office Park Dr Orangeburg SC 29118-2407 |
| Mailing Address |
34 Loon Dr Topsham ME 04086-1538 |
| Practice Telephone | 8035365509 |
| Mailing Telephone | 2078374447 |
| Enumeration Date | 2015-06-24 |
| Last Update Date | 2017-12-13 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 4040 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
OT 3011 | ME | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
119 OFFICE PARK DR |
| City | ORANGEBURG |
| State | SC |
| Zip Code | 29118-2407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497711246 | Charles E Pinta Jr. | Specialist | 119 Office Park Dr, Orangeburg, SC 29118-2407 | 2006-04-21 |
| 1578076485 | Melissa C Kearse | Physical Therapist | 119 Office Park Dr, Orangeburg, SC 29118-2407 | 2017-11-14 |
| 1710403522 | Zachary Detsch | Physical Therapist | 119 Office Park Dr, Orangeburg, SC 29118-2407 | 2017-08-15 |
| 1205369063 | Jessica Ruby Osborne | Physical Therapist | 119 Office Park Dr, Orangeburg, SC 29118-2407 | 2017-04-09 |
| 1548717077 | Logan Lee | Physical Therapist | 119 Office Park Dr, Orangeburg, SC 29118-2407 | 2016-09-01 |
| 1306244538 | Clemson Sports Medicine and Rehabilitation | Durable Medical Equipment & Medical Supplies | 119 Office Park Dr, Orangeburg, SC 29118-2407 | 2014-12-22 |
| 1043636764 | Brandon S Young | Physical Therapist | 119 Office Park Dr, Orangeburg, SC 29118-2407 | 2014-03-06 |
| 1184051237 | Margaret Mclaurin | Occupational Therapist | 119 Office Park Dr, Orangeburg, SC 29118-2407 | 2013-10-03 |
| 1821302837 | Laura Dukes | Physical Therapist | 119 Office Park Dr, Orangeburg, SC 29118-2407 | 2010-08-02 |
| 1497987051 | Sports Plus | Durable Medical Equipment & Medical Supplies | 119 Office Park Dr, Orangeburg, SC 29118-2407 | 2009-08-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386268175 | Sharon Y Tremble | Speech-Language Pathologist | 222 Summit Parkway, Orangeburg, SC 29118 | 2020-06-08 |
| 1922658756 | Orangeburg County School District | Local Education Agency (LEA) | 102 Founders Court, Orangeburg, SC 29118 | 2019-09-13 |
| 1710442967 | Central Carolina Endodontics Pa | Dentist | 888 Cook Road, Orangeburg, SC 29118 | 2019-02-01 |
| 1821572009 | Sharon Fogle | Counselor | 2319 Wt. Matthews Road, Orangeburg, SC 29118 | 2018-09-24 |
| 1104320001 | South Carolina Surgical Pa | Surgery | 3045 St Matthews Road, Orangeburg, SC 29118 | 2018-03-23 |
| 1477056794 | Palmetto Moon Anesthesia, LLC | Anesthesiology | 3045 St. Matthews Rd., Orangeburg, SC 29118 | 2018-03-13 |
| 1730691882 | Bio-medical Applications of South Carolina, Inc. | Clinic/Center | 125 Kinard St, Orangeburg, SC 29118 | 2017-10-30 |
| 1154862746 | Latasha Hott | Nurse Practitioner | 2323 St. Matthews Rd, Orangeburg, SC 29118 | 2017-03-15 |
| 1154786960 | R Dale Padgett Md Pa | Clinic/Center | 1727 Villagepark Dr, Orangeburg, SC 29118 | 2015-12-21 |
| 1881977726 | Ontime Transport LLC | Non-emergency Medical Transport (VAN) | 2851 Pelham Ct, Orangeburg, SC 29118 | 2011-09-27 |
| Find all providers in zip 29118 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730544842 | Sheronda Chantell Lucas | Occupational Therapist | 567 Lake Edisto Rd, Orangeburg, SC 29118-1523 | 2015-12-17 |
| 1881826865 | Emily A O'donnell | Occupational Therapist | 1732 Village Park Dr, Orangeburg, SC 29118-2457 | 2009-08-10 |
| 1407037591 | Barbara Lee Graham | Occupational Therapist | 611 Mulberry St, Orangeburg, SC 29118-2856 | 2007-11-17 |
| 1326506544 | Prohealth Care Associates, LLP | Occupational Therapist | 99 Dutch Hill Rd, Orangeburg, NY 10962-2185 | 2019-03-06 |
| 1184051237 | Margaret Mclaurin | Occupational Therapist | 119 Office Park Dr, Orangeburg, SC 29118-2407 | 2013-10-03 |
| 1417133059 | B L Graham LLC | Occupational Therapist | 611 Mulberry St, Orangeburg, SC 29118-2856 | 2008-01-14 |
| 1821270778 | Mitzi Binnicker Williams | Occupational Therapist | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2007-12-03 |
| 1699979948 | Katie Myers Haddock | Occupational Therapist | 575 Stonewall Jackson Blvd, Orangeburg, SC 29115-7250 | 2007-06-12 |
| 1992858666 | Christie Inabinett-king | Occupational Therapist | 3000 Saint Matthews Rd, Orangeburg, SC 29118-1442 | 2007-01-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385243 | Brittain Harris | Occupational Therapist | 1710 Richland St # B, Columbia, SC 29201-2636 | 2020-10-26 |
| 1912506791 | Kathryn Fraboni Henderson | Occupational Therapist | 323 Riverland Dr Apt 2, Charleston, SC 29412-2587 | 2020-10-22 |
| 1841899663 | Belle Spangle | Occupational Therapist | 60 Spring Crossing Cir, Greer, SC 29650-5100 | 2020-10-22 |
| 1104425263 | Ashleigh Collins | Occupational Therapist | 2065 Mccrays Mill Rd, Sumter, SC 29154-6111 | 2020-10-20 |
| 1740888726 | Emily Negron | Occupational Therapist | 1612 Ebenezer Rd Ste 101, Rock Hill, SC 29732-3862 | 2020-10-13 |
| 1073110045 | Ryan Beebe Haines | Occupational Therapist | 5025 Willing Ct, Indian Land, SC 29707-3103 | 2020-10-02 |
| 1730795022 | Coastal Kids Therapy LLC | Occupational Therapist | 237 Palmetto Walk Dr, Summerville, SC 29486-2708 | 2020-09-22 |
| 1922614536 | Benchmark Healthcare Service LLC | Occupational Therapist | 3601 Richland Ave W Ste 717, Aiken, SC 29801-6417 | 2020-09-18 |
| 1730792938 | Kasey Anne O'haren | Occupational Therapist | 1 10th Ave, Charleston, SC 29403-3601 | 2020-08-26 |
| 1699385856 | Judy Lynn Lloyd | Occupational Therapist | 4801 Pee Dee Hwy, Conway, SC 29527-7357 | 2020-08-03 |
| Find all providers with the same taxonomy | ||||
| City | ORANGEBURG |
| Zip Code | 29118 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.