KIM A NICHOLS
NPI 1114261310
Occupational Therapy Assistant in Port Orange, FL

Active since November 12, 2012
5535 S WILLIAMSON BLVD, STE 774, PORT ORANGE, FL 32128(800) 330-7711(866) 426-2811 Get Directions Write a Review

NPPES record last updated: November 12, 2012. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kim A Nichols NPPES

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

KIM A NICHOLS (NPI 1114261310) is an individual occupational therapy assistant in Port Orange, Florida, licensed in Kentucky (A4194) and active in the NPI registry since November 2012.

NPPES Registry Identity

NPI1114261310
Entity TypeIndividualFemale
Primary Taxonomy224Z00000X
Provider Legal NameKIM A NICHOLS
Location Address5535 S WILLIAMSON BLVD, STE 774Port Orange, FL 32128-8311
Mailing Address111 Osborne LnMadisonville, KY 42431-9766
Fax(866) 426-2811
Sole ProprietorNo
Enumeration DateNovember 12, 2012
NPI 1114261310 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 KY · A4194
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.
5535 S WILLIAMSON BLVD, Port Orange, FL 32128

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.

Physical Therapy Assistant
5535 S WILLIAMSON BLVD, STE 774
PORT ORANGE, FL 32128
Occupational Therapist
5535 S WILLIAMSON BLVD, SUITE 774
PORT ORANGE, FL 32128
Physical Therapist
5535 S WILLIAMSON BLVD
PORT ORANGE, FL 32128
Occupational Therapist
5535 S WILLIAMSON BLVD, SUITE 774
PORT ORANGE, FL 32128
Physical Therapist
5535 S WILLIAMSON BLVD, SUITE 774
PORT ORANGE, FL 32128
Speech-Language Pathologist
5535 S WILLIAMSON BLVD
PORT ORANGE, FL 32128
Physical Therapy Assistant
5535 S WILLIAMSON BLVD, SUITE 774
PORT ORANGE, FL 32128
Physical Therapist
5535 S WILLIAMSON BLVD, SUITE 774
PORT ORANGE, FL 32128

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 Kim Nichols's NPI number?

The NPI number for Kim Nichols is 1114261310. It was assigned to this individual provider in the NPPES registry on November 12, 2012.

Where is Kim Nichols located?

Kim Nichols practices at 5535 S Williamson Blvd Ste 774, Port Orange, FL 32128. The listed phone number is (800) 330-7711.

What is Kim Nichols'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 Kim Nichols was last updated on November 12, 2012. 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.