Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

NICOLE DI PONIO
NPI 1629890686
Occupational Therapist in Ann Arbor, MI

Active since October 30, 2024Accepts Medicare Assignment
5060 JACKSON RD STE D, ANN ARBOR, MI 48103(734) 627-8001(734) 433-1989 Get Directions Write a Review

NPPES record last updated: September 16, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Nicole Di Ponio NPPES

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

NICOLE DI PONIO (NPI 1629890686) is an individual occupational therapist in Ann Arbor, Michigan, licensed in Michigan (5201012693) and active in the NPI registry since October 2024. She is a graduate of Other (2021).

NPPES Registry Identity

NPI1629890686
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameNICOLE DI PONIO
Location Address5060 JACKSON RD STE DAnn Arbor, MI 48103-1867
Mailing Address261 Mack AveDetroit, MI 48201-2495 · (313) 745-1203 · Fax (313) 745-0476
Fax(734) 433-1989
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateOctober 30, 2024
Last NPPES UpdateSeptember 16, 2026
NPPES CertifiedSeptember 16, 2026
✔ NPI 1629890686 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in MI · 5201012693
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
5060 JACKSON RD STE D, Ann Arbor, MI 48103

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nicole Di Ponio is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2466980941
PECOS Enrollment IDI20250111000179

Medicare Billing Reassignment

Medicare enrollment records show Nicole Di Ponio reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Clinical
5060 JACKSON RD STE D
Ann Arbor, MI 48103
  • Reassigned Medicare billing, Michigan enrollment
  • 25 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

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

Occupational Therapist
5060 JACKSON RD STE D
ANN ARBOR, MI 48103
Occupational Therapist
5060 JACKSON RD STE D
ANN ARBOR, MI 48103
Speech-Language Pathologist
5060 JACKSON RD STE D
ANN ARBOR, MI 48103
Occupational Therapist
5060 JACKSON RD STE D
ANN ARBOR, MI 48103
Speech-Language Pathologist
5060 JACKSON RD STE D
ANN ARBOR, MI 48103
Occupational Therapist
5060 JACKSON RD STE D
ANN ARBOR, MI 48103
Occupational Therapist
5060 JACKSON RD STE D
ANN ARBOR, MI 48103
Massage Therapist
5060 JACKSON RD STE D
ANN ARBOR, MI 48103

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 Nicole Di Ponio's NPI number?

The NPI number for Nicole Di Ponio is 1629890686. It was assigned to this individual provider in the NPPES registry on October 30, 2024.

Where is Nicole Di Ponio located?

Nicole Di Ponio practices at 5060 Jackson Rd Ste D, Ann Arbor, MI 48103. The listed phone number is (734) 627-8001.

What is Nicole Di Ponio's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Nicole Di Ponio enrolled in Medicare?

Yes. Nicole Di Ponio is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Nicole Di Ponio's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Di Ponio reassigns Medicare benefits to Life Skills Community Rehabilitation & Associates LLC (Ann Arbor, MI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Di Ponio's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Di Ponio accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Nicole Di Ponio as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Di Ponio was last updated on September 16, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 47 days 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.