Nicole Anderson, OT is a
Occupational Therapist based in Modena, New York. Nicole Anderson is licensed to practice in New York (license number 021282-1) and her current practice location is
2176 State Route 32, Modena, New York. She can be reached at her office (for appointments etc.) via phone at
(845) 514-5557.
NPI number for Nicole Anderson is 1275074148 and her current mailing address is 2176 State Route 32, Modena, New York. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1275074148.
Healthcare Provider's Profile
Full Name | Nicole Anderson |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 2176 State Route 32, Modena, New York |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1275074148
- Provider Enumeration Date: 03/13/2017
- Last Update Date: 04/05/2019
Medical Identifiers
Medical identifiers for Nicole Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1275074148 | NPI | - | NPPES |
1275074148 | Medicaid | NY | |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 021282-1 (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. Nicole Anderson 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 |
Nicole Anderson, OT 2176 State Route 32, Modena, NY 12548-5211 Ph: (845) 514-5557 | Nicole Anderson, OT 2176 State Route 32, Modena, NY 12548-5211 Ph: (845) 514-5557 |
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