NICOLE REYNOLDS LLC
NPI 1285209429
Occupational Therapist - Neurorehabilitation in Lake Park, FL

Active since May 20, 2021
1015 LAKE SHORE DR APT 102, LAKE PARK, FL 33403(716) 481-2248 Get Directions Write a Review

NPPES record last updated: May 20, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Occupational Therapist
  • Neurorehabilitation

About NICOLE REYNOLDS LLC

This page provides the complete NPI Profile along with additional information for Nicole Reynolds Llc, a provider established in Lake Park, Florida operating as a Occupational Therapist, focusing in neurorehabilitation . The healthcare provider is registered in the NPI registry with number 1285209429 assigned on May 2021. The practitioner's primary taxonomy code is 225XN1300X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Nicole Reynolds (Occupational Therapist)

NPI
1285209429 Verify this NPI
Provider Name
NICOLE REYNOLDS LLC
Entity Type
Organization
Location Address
1015 LAKE SHORE DR APT 102 LAKE PARK, FL 33403
Location Phone
(716) 481-2248
Mailing Address
1015 LAKE SHORE DR APT 102 LAKE PARK, FL 33403
Mailing Phone
(716) 481-2248
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-20-2021
Last Update Date
05-20-2021
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Occupational Therapist Neurorehabilitation

Taxonomy Code
225XN1300X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

NICOLE REYNOLDS

Authorized Official Title
OCCUPATIONAL THERAPIST
Authorized Official Phone
(716) 481-2248

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1285209429, enumerated as an "organization" on May 20, 2021.

The provider is located at 1015 LAKE SHORE DR APT 102 LAKE PARK, FL 33403 and the phone number is (716) 481-2248.

Occupational Therapist with taxonomy code 225XN1300X and a focus in Neurorehabilitation.