Provider Demographics
NPI:1376327676
Name:PATEL, NIKI B (MS,OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:NIKI
Middle Name:B
Last Name:PATEL
Suffix:
Gender:F
Credentials:MS,OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:111 BRIAN WESLEY CT
Mailing Address - Street 2:
Mailing Address - City:YORKTOWN
Mailing Address - State:VA
Mailing Address - Zip Code:23693-2652
Mailing Address - Country:US
Mailing Address - Phone:781-363-9110
Mailing Address - Fax:
Practice Address - Street 1:236 COMMONS WAY
Practice Address - Street 2:RM. 215
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23185
Practice Address - Country:US
Practice Address - Phone:757-564-4433
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-21
Last Update Date:2023-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist