MRS. NICOLE MARIE GORDON OTR
NPI 1164636064
Occupational Therapist in Saint Paul, MN

Active since May 09, 2007
360 COLBORNE ST, SAINT PAUL, MN 55102(651) 341-8361 Get Directions Write a Review

NPPES record last updated: April 2, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mrs. Nicole Marie Gordon Otr NPPES

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

MRS. NICOLE MARIE GORDON OTR (NPI 1164636064) is an individual occupational therapist in Saint Paul, Minnesota, licensed in Minnesota (102111) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1164636064
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMRS. NICOLE MARIE GORDONCredential: OTR
Location Address360 COLBORNE STSaint Paul, MN 55102-3228
Mailing Address360 Colborne StSaint Paul, MN 55102-3299 · (651) 341-8361
Sole ProprietorNo
Enumeration DateMay 9, 2007
Last NPPES UpdateApril 2, 2026
NPPES CertifiedApril 2, 2026
NPI 1164636064 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 MN · 102111
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.

360 COLBORNE ST, Saint Paul, MN 55102

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.

Nurse Practitioner (Pediatrics)
360 COLBORNE ST
SAINT PAUL, MN 55102
Nurse Practitioner (Pediatrics)
360 COLBORNE ST
SAINT PAUL, MN 55102
Nurse Practitioner (Pediatrics)
360 COLBORNE ST
SAINT PAUL, MN 55102
Nurse Practitioner (Pediatrics)
360 COLBORNE ST
SAINT PAUL, MN 55102
Nurse Practitioner (Pediatrics)
360 COLBORNE ST
SAINT PAUL, MN 55102
Nurse Practitioner (Pediatrics)
360 COLBORNE ST
SAINT PAUL, MN 55102
Nurse Practitioner (Pediatrics)
360 COLBORNE ST
SAINT PAUL, MN 55102
Local Education Agency (LEA)
360 COLBORNE ST
SAINT PAUL, MN 55102

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 Gordon's NPI number?

The NPI number for Nicole Gordon is 1164636064. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Nicole Gordon located?

Nicole Gordon practices at 360 Colborne St, Saint Paul, MN 55102. The listed phone number is (651) 341-8361.

What is Nicole Gordon'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 Nicole Gordon was last updated on April 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.