MEDICARE: MRS. NIKEL WHITE MS OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT005520	GA
2	225X00000X	Occupational Therapist	017473	NY

General Provider Information

NPI Number	:	1750620514
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. NIKEL WHITE MS OTR/L

Provider Business Mailing Address
First Line	:	135 CEDAR CIR
Second Line	:
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30214-1213
Country	:	US
Telephone Number	:	347-436-3667
Fax Number	:

Provider Business Practice Location Address
First Line	:	135 CEDAR CIR
Second Line	:
City	:	FAYETTEVILLE
State	:	GA
Zip	:	30214-1213
Country	:	US
Telephone Number	:	347-436-3667
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/13/2013
Last Update Date	:	07/02/2024

Similar Medicare Providers

1154991834 — BIG DREAMERS YOUTH ON THE RISE PLLC
Practice Location Address:

1213 ARTEMIS DR
FAYETTEVILLE, NC
28311-0149

Practice Phone: 910-584-5747
Practice Fax:

1457027914 — ANNIE BRANCH HOME INC
Practice Location Address:

1213 KNOTTY ELM LOOP
FAYETTEVILLE, NC
28304-3084

Practice Phone: 910-476-8854
Practice Fax:

1659626349 — SUSHMA REDDYCHERLA MD
Practice Location Address:

1275 HIGHWAY 54 W STE 100
FAYETTEVILLE, GA
30214-4538

Practice Phone: 678-817-5542
Practice Fax:

1164795738 — LYSA MARI HARAWAY BCBA
Practice Location Address:

290 HIGHWAY 314
FAYETTEVILLE, GA
30214-7813

Practice Phone: 404-994-7727
Practice Fax: 404-994-7728

1922967355 — INFINITE BUSINESS VENTURE LLC D/B/A FUNCTIONAL AND RESTORATIVE HEALTH
Practice Location Address:

320 LANIER AVE W STE 200
FAYETTEVILLE, GA
30214-7443

Practice Phone: 404-569-1310
Practice Fax:

1992446702 — ASHLEY ABSOLU MD
Practice Location Address:

105 CARNEGIE PL
FAYETTEVILLE, GA
30214-3980

Practice Phone: 770-716-7999
Practice Fax: 770-716-8444

Directions to “ MRS. NIKEL WHITE MS OTR/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.