Katlyn Small Nixon, OT | |
312 Academy St S Ste G, Ahoskie, NC 27910-3200 | |
(252) 276-2194 | |
(252) 276-2218 |
Full Name | Katlyn Small Nixon |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 312 Academy St S Ste G, Ahoskie, North Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174271449 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 10831 (North Carolina) | Primary |
Provider Name | Big Heart International Trading Llc |
---|---|
Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1982279436 PECOS PAC ID: 9234527904 Enrollment ID: O20211029000170 |
Mailing Address | Practice Location Address |
---|---|
Katlyn Small Nixon, OT 312 Academy St S Ste G, Ahoskie, NC 27910-3200 Ph: (252) 276-2194 | Katlyn Small Nixon, OT 312 Academy St S Ste G, Ahoskie, NC 27910-3200 Ph: (252) 276-2194 |
Kaitlyn Mae Ditmars, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 500 Academy St S, Ahoskie, NC 27910 Phone: 252-209-3000 | |
Nancy Carson Eaton, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 604 Stokes St E, Ahoskie, NC 27910 Phone: 252-332-2126 | |
Regina Snyder, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 604 Stokes St E, Ahoskie, NC 27910 Phone: 252-332-2126 |