| Alexis Niccum, OT | |
|
180 W 80th St, New York, NY 10024-6378 | |
| (212) 579-2858 | |
| (212) 579-2853 |
| Full Name | Alexis Niccum |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 180 W 80th St, New York, New York |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306535323 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 027668 (New York) | Primary |
| Provider Name | New York Physical And Occupational Therapy Services Pllc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1356703631 PECOS PAC ID: 6305144775 Enrollment ID: O20160419000323 |
| Provider Name | Stern At Home Physical Therapy Pc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1720563380 PECOS PAC ID: 6002152147 Enrollment ID: O20190204002117 |
| Provider Name | Living Well Balanced Nyc Medical Pllc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1316692379 PECOS PAC ID: 8224424544 Enrollment ID: O20220413000458 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexis Niccum, OT 6225 Red Fox Rd, Pendleton, IN 46064-9058 Ph: (765) 639-8867 | Alexis Niccum, OT 180 W 80th St, New York, NY 10024-6378 Ph: (212) 579-2858 |
Leah Jenson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 38 W 32nd St Ste 604, New York, NY 10001 Phone: 917-763-0974 | |
Patricia Marie Beraducci, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 W 65th St, New York, NY 10023 Phone: 212-769-6310 | |
Princesita Conte, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4951 Chambers Street 6th Floor, New York, NY 10007 Phone: 917-286-5147 | |
Mr. Kai-shih Wang, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 225 W 23rd St, Apt 4j, New York, NY 10011 Phone: 917-589-2877 | |
Ms. Eileen Dwyre, M.A. OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 38 W 32nd St, 602, New York, NY 10001 Phone: 212-290-0292 | |
Claire Buckley, M.S.O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 248 W 35th St, New York, NY 10001 Phone: 212-453-0036 | |
Jenny Joseph, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 264 Canal St, New York, NY 10013 Phone: 212-925-8069 |