Kristie Nickerson, MS OTR/L
NPI 1851773071ActiveIndividual· Occupational Therapist· Orangeburg, SC
Occupational Therapist (MS OTR/L) with Southern Lakes Therapy LLC, practicing in Orangeburg, South Carolina. Medicare paid $20,568 for services to 34 patients in 2024.
Overview
| NPI | 1851773071 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MS OTR/L |
| Sole proprietor | No |
| NPI issued | Jun 24, 2015 |
| Last updated in NPPES | Dec 13, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 4040 | SC |
| Occupational Therapist, Pediatrics | 225XP0200X | OT 3011 | ME |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (SC) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 34 |
|---|---|
| Services billed | 1,046 across 5 procedure codes |
| Paid by Medicare | $20,568 |
Education and affiliations
| Graduation year | 2012 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Southern Lakes Therapy LLCManning, SC · 4 clinicians
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