KRISTA IWANICKI
NPI 1184261018
Occupational Therapist - Pediatrics in South Windsor, CT

Active since December 10, 2019
915 SULLIVAN AVE STE 3, SOUTH WINDSOR, CT 06074(860) 644-2335 Get Directions Write a Review

NPPES record last updated: September 4, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 4, 2022, Dec 10, 2019 (2 updates tracked since 2019).

About Krista Iwanicki NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KRISTA IWANICKI (NPI 1184261018) is an individual pediatrics provider in South Windsor, Connecticut, licensed in Connecticut (6039) and active in the NPI registry since December 2019. She maintains 3 additional practice locations.

NPPES Registry Identity

NPI1184261018
Entity TypeIndividualFemale
Primary Taxonomy225XP0200X
Provider Legal NameKRISTA IWANICKI
Location Address915 SULLIVAN AVE STE 3South Windsor, CT 06074-2165
Mailing Address360 Bloomfield Ave Ste 301Windsor, CT 06095-2700 · (877) 418-2978 · Fax (866) 500-2186
Sole ProprietorNo
Enumeration DateDecember 10, 2019
Last NPPES UpdateSeptember 4, 20222 updates tracked since enumeration
NPPES CertifiedSeptember 4, 2022
NPI 1184261018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyOccupational Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XP0200X
License Licensed in CT · 6039
Definition
Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or occupations. Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities.
Also ListedBehavior TechnicianTaxonomy 106S00000X
915 SULLIVAN AVE STE 3, South Windsor, CT 06074

Secondary Practice Locations 3

Location 1360 Bloomfield Ave Ste 301Windsor, CT 06095-2700 · Phone (877) 418-2978 · Fax (866) 500-2186
Location 2225 Cedar Hill St Ste 200Marlborough, MA 01752-5900 · Phone (877) 418-2978 · Fax (866) 500-2186
Location 3915 Sullivan Ave Ste 3South Windsor, CT 06074-2165 · Phone (860) 644-2335

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
915 SULLIVAN AVE STE 3
SOUTH WINDSOR, CT 06074
Occupational Therapy Assistant
915 SULLIVAN AVE STE 3
SOUTH WINDSOR, CT 06074
Occupational Therapist
915 SULLIVAN AVE STE 3
SOUTH WINDSOR, CT 06074
Occupational Therapist
915 SULLIVAN AVE STE 3
SOUTH WINDSOR, CT 06074
Occupational Therapist (Pediatrics)
915 SULLIVAN AVE STE 3
SOUTH WINDSOR, CT 06074
Physical Therapist
915 SULLIVAN AVE STE 3
SOUTH WINDSOR, CT 06074
Physical Therapist
915 SULLIVAN AVE STE 3
SOUTH WINDSOR, CT 06074

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Krista Iwanicki's NPI number?

The NPI number for Krista Iwanicki is 1184261018. It was assigned to this individual provider in the NPPES registry on December 10, 2019.

Where is Krista Iwanicki located?

Krista Iwanicki practices at 915 Sullivan Ave Ste 3, South Windsor, CT 06074. The listed phone number is (860) 644-2335.

What is Krista Iwanicki's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Pediatrics, with taxonomy code 225XP0200X.

When was this NPI record last updated?

The NPPES record for Krista Iwanicki was last updated on September 4, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.