Kristie Nickerson, MSOTR/L
Kristie Nickerson, MSOTR/L is an Occupational Therapist in Private Practice in Orangeburg, South Carolina. Qualified in 2012, 14 years ago. Practices with Southern Lakes Therapy LLC, a 4-clinician group and accepts Medicare assignment. Licensed in Maine and South Carolina.
- Years since qualifying
- 14
- Licensed in
- ME, SC
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
119 Ofc Park DROrangeburg, SC 29118-2407
Phone: (803) 536-5509
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 4040 (SC) |
|---|---|
| Pediatric Occupational Therapist | Taxonomy 225XP0200X · Licence OT 3011 (ME) |
Record details
| NPI number | 1851773071 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MSOTR/L |
| Sole proprietor | No |
| NPI enumerated | June 24, 2015 |
| Last updated in NPPES | December 13, 2017 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2012 (14 years in practice) |
| Group practice | Southern Lakes Therapy Llc — 4 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |