IndividualActive
Jacqueline Nizamoff, OTR CHT
NPI 1003942111 · Hand Occupational Therapist · Fleming Island, FL
Provider details
- NPI number
- 1003942111
- Entity type
- Individual
- Primary specialty
- Hand Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- OTR CHT
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2660 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1715 Eagle Harbor Pkwy Ste a
Fleming Island, FL 32003-4324
Phone: (904) 215-6122
Fax: (904) 375-8627
Street-level locationGet directions
Mailing address
11945 San Jose Blvd Ste 300
Jacksonville, FL 32223-1627
Registry dates
- Enumerated
- 2007-02-25
- Last updated
- 2022-07-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.