MELISSA NUCKOLLS OTR/L
NPI 1013741958
Occupational Therapist in Hayward, CA

Active since August 30, 2024
1633 INDUSTRIAL PKWY W, HAYWARD, CA 94544(650) 862-9753 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Melissa Nuckolls Otr/l NPPES

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

MELISSA NUCKOLLS OTR/L (NPI 1013741958) is an individual occupational therapist in Hayward, California, licensed in California (25343) and active in the NPI registry since August 2024. She maintains a secondary practice location in Union City.

NPPES Registry Identity

NPI1013741958
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMELISSA NUCKOLLSCredential: OTR/L
Location Address1633 INDUSTRIAL PKWY WHayward, CA 94544-7046
Mailing Address1077 Rich Ave Apt 3Mountain View, CA 94040-2433 · (650) 862-9753
Sole ProprietorNo
Enumeration DateAugust 30, 2024
NPPES CertifiedAugust 30, 2024
NPI 1013741958 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 CA · 25343
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.
1633 INDUSTRIAL PKWY W, Hayward, CA 94544

Secondary Practice Location 1

Location 129516 Kohoutek WayUnion City, CA 94587-1221 · Phone (650) 862-9753

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 Melissa Nuckolls's NPI number?

The NPI number for Melissa Nuckolls is 1013741958. It was assigned to this individual provider in the NPPES registry on August 30, 2024.

Where is Melissa Nuckolls located?

Melissa Nuckolls practices at 1633 Industrial Pkwy W, Hayward, CA 94544. The listed phone number is (650) 862-9753.

What is Melissa Nuckolls's specialty?

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

When was this NPI record last updated?

The NPPES record for Melissa Nuckolls was last updated on August 30, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 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.