NICOLE FERNANDEZ OTD, OTR/L
NPI 1477305118
Occupational Therapist in Jacksonville, FL

Active since April 04, 2024
3901 UNIVERSITY BLVD S, JACKSONVILLE, FL 32216(904) 345-7251 Get Directions Write a Review

NPPES record last updated: April 17, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 17, 2024, Apr 4, 2024 (2 updates tracked since 2024).

About Nicole Fernandez Otd, Otr/l NPPES

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

NICOLE FERNANDEZ OTD, OTR/L (NPI 1477305118) is an individual occupational therapist in Jacksonville, Florida, licensed in Florida (25053) and active in the NPI registry since April 2024. She maintains a secondary practice location in Hallandale Beach.

NPPES Registry Identity

NPI1477305118
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameNICOLE FERNANDEZCredential: OTD, OTR/L
Location Address3901 UNIVERSITY BLVD SJacksonville, FL 32216-4312
Mailing Address6471 Boca CirBoca Raton, FL 33433-7813
Sole ProprietorNo
Enumeration DateApril 4, 2024
Last NPPES UpdateApril 17, 20242 updates tracked since enumeration
NPPES CertifiedApril 17, 2024
✔ NPI 1477305118 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 FL · 25053
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.
3901 UNIVERSITY BLVD S, Jacksonville, FL 32216

Secondary Practice Location 1

Location 1221 W Hallandale Beach BlvdHallandale Beach, FL 33009-5441 · Phone (561) 560-7377

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicole Fernandez Otd, Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Nicole Fernandez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
21005 NE 19TH CT
Miami, FL 33179
  • Reassigned Medicare billing, Florida enrollment
  • 318 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Therapist
3901 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Speech-Language Pathologist
3901 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Clinic/Center (Physical Therapy)
3901 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Speech-Language Pathologist
3901 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Physical Therapist
3901 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Physical Therapist
3901 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Physical Therapist
3901 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216
Speech-Language Pathologist
3901 UNIVERSITY BLVD S
JACKSONVILLE, FL 32216

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 Fernandez's NPI number?

The NPI number for Nicole Fernandez is 1477305118. It was assigned to this individual provider in the NPPES registry on April 4, 2024.

Where is Nicole Fernandez located?

Nicole Fernandez practices at 3901 University Blvd S, Jacksonville, FL 32216. The listed phone number is (904) 345-7251.

What is Nicole Fernandez's specialty?

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

Is Nicole Fernandez enrolled in Medicare?

Yes. Nicole Fernandez is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Nicole Fernandez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicole Fernandez reassigns Medicare benefits to Sobe Innovative Rehabilitation PLLC (Miami, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Nicole Fernandez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nicole Fernandez accept?

Health plans from AmeriHealth Caritas Next list Nicole Fernandez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nicole Fernandez was last updated on April 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.