NICOLE WILLIS
NPI 1003614652
Occupational Therapy Assistant in Saint Cloud, MN

Active since March 07, 2025
4801 VETERANS DR, SAINT CLOUD, MN 56303(320) 252-1670 Get Directions Write a Review

NPPES record last updated: March 7, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nicole Willis NPPES

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

NICOLE WILLIS (NPI 1003614652) is an individual occupational therapy assistant in Saint Cloud, Minnesota, licensed in Minnesota (201323) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1003614652
Entity TypeIndividualFemale
Primary Taxonomy224Z00000X
Provider Legal NameNICOLE WILLIS
Location Address4801 VETERANS DRSaint Cloud, MN 56303-2015
Mailing Address4801 Veterans DrSaint Cloud, MN 56303-2015 · (320) 252-1670
Sole ProprietorNo
Enumeration DateMarch 7, 2025
NPPES CertifiedMarch 7, 2025
NPI 1003614652 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Z00000X
License Licensed in MN · 201323
Definition
An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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.
4801 VETERANS DR, Saint Cloud, MN 56303

Other Providers at the Same Location NPPES 20

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

Social Worker (Clinical)
4801 VETERANS DR
SAINT CLOUD, MN 56303
Pharmacist
4801 VETERANS DR
SAINT CLOUD, MN 56303
Specialist/Technologist (Rehabilitation, Blind)
4801 VETERANS DR
SAINT CLOUD, MN 56303
Licensed Practical Nurse
4801 VETERANS DR
SAINT CLOUD, MN 56303
Licensed Practical Nurse
4801 VETERANS DR
SAINT CLOUD, MN 56303
Health and Wellness Coach
4801 VETERANS DR
SAINT CLOUD, MN 56303
Registered Nurse
4801 VETERANS DR
SAINT CLOUD, MN 56303
Nurse Practitioner (Gerontology)
4801 VETERANS DR
SAINT CLOUD, MN 56303

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 Willis's NPI number?

The NPI number for Nicole Willis is 1003614652. It was assigned to this individual provider in the NPPES registry on March 7, 2025.

Where is Nicole Willis located?

Nicole Willis practices at 4801 Veterans Dr, Saint Cloud, MN 56303. The listed phone number is (320) 252-1670.

What is Nicole Willis's specialty?

The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.

When was this NPI record last updated?

The NPPES record for Nicole Willis was last updated on March 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months 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.