LORI MCNICKLE CPED, RFOM
NPI 1861733396
Pedorthist in Canton, OH

Q: What is Lori Mcnickle's NPI number?

The NPI number for Lori Mcnickle is 1861733396. It was assigned to this individual provider in the NPPES registry on March 7, 2013.

Q: What is Lori Mcnickle's specialty?

The primary specialty registered for this NPI is Pedorthist with taxonomy code 224L00000X.

Q: When was this NPI record last updated?

The NPPES record for Lori Mcnickle was last updated on March 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.

Active since March 07, 2013

4663 WHIPPLE AVE NW, CANTON, OH 44718(330) 479-0020(330) 493-5759 Get Directions Write a Review

NPPES record last updated: March 7, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Lori Mcnickle Cped, Rfom NPPES

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

LORI MCNICKLE CPED, RFOM (NPI 1861733396) is an individual pedorthist provider in Canton, Ohio, licensed in Ohio (LPED32) and active in the NPI registry since March 2013.

NPPES Registry Identity

NPI1861733396

Entity TypeIndividualFemale

Primary Taxonomy224L00000X

Provider Legal NameLORI MCNICKLECredential: CPED, RFOM

Location Address4663 WHIPPLE AVE NWCanton, OH 44718-2615

Mailing Address4663 Whipple Ave NwCanton, OH 44718-2615 · (330) 479-0020 · Fax (330) 493-5759

Phone(330) 479-0020

Fax(330) 493-5759

Sole ProprietorNo

Enumeration DateMarch 7, 2013

✔ NPI 1861733396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPedorthistRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code224L00000X

License✔ Licensed in OH · LPED32

Definition

An individual who is trained in the management and treatment of conditions of the foot, ankle, and lower extremities requiring fitting, fabricating, and adjusting of pedorthic devices.

4663 WHIPPLE AVE NW, Canton, OH 44718

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Other Identifiers 1

Medicaid2002862OH

Other Providers at the Same Location NPPES 2

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

HANGER PROSTHETICS & ORTHOTICS EAST INC

Prosthetic/Orthotic Supplier

4663 WHIPPLE AVE NW
CANTON, OH 44718

Stark County (330) 479-0020

JACQUELINE LAMBERT CO

Orthotist

4663 WHIPPLE AVE NW
CANTON, OH 44718

Stark County (330) 479-0020

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 Lori Mcnickle's NPI number?

The NPI number for Lori Mcnickle is 1861733396. It was assigned to this individual provider in the NPPES registry on March 7, 2013.

Where is Lori Mcnickle located?

Lori Mcnickle practices at 4663 Whipple Ave NW, Canton, OH 44718. The listed phone number is (330) 479-0020.

What is Lori Mcnickle's specialty?

The primary specialty registered for this NPI is Pedorthist with taxonomy code 224L00000X.

When was this NPI record last updated?

The NPPES record for Lori Mcnickle was last updated on March 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.