Ms Nicole Rene Keibel, OTR/L, LMT, CLT is a
Occupational Therapist based in Johnson City, New York. Ms Nicole Rene Keibel is licensed to practice in New York (license number 013324-1) and her current practice location is
33-57 Harrison St, Johnson City, New York. She can be reached at her office (for appointments etc.) via phone at
(607) 763-6033.
NPI number for Ms Nicole Rene Keibel is 1912143249 and her current mailing address is 33-57 Harrison St, Johnson City, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1912143249.
Healthcare Provider's Profile
| Full Name | Ms Nicole Rene Keibel |
|---|
| Gender | Female |
|---|
| Speciality | Occupational Therapist |
|---|
| Location | 33-57 Harrison St, Johnson City, New York |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912143249
- Provider Enumeration Date: 12/16/2008
- Last Update Date: 07/07/2014
Medical Identifiers
Medical identifiers for Ms Nicole Rene Keibel such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912143249 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | (New York) | Secondary |
| 225X00000X | Occupational Therapist | 013324-1 (New York) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Nicole Rene Keibel is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Ms Nicole Rene Keibel, OTR/L, LMT, CLT
33-57 Harrison St,
Johnson City, NY 13790-2107
Ph: (607) 763-6033 | Ms Nicole Rene Keibel, OTR/L, LMT, CLT
33-57 Harrison St,
Johnson City, NY 13790-2107
Ph: (607) 763-6033 |
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