What is Kim Nichols's NPI number?

Kim Nichols's National Provider Identifier (NPI) is 1114261310, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.

What is Kim Nichols's specialty?

Kim Nichols is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).

Where is Kim Nichols located?

Kim Nichols's practice location on file with NPPES is 5535 S Williamson Blvd, Port Orange, FL 32128-8311.

What is Kim Nichols's phone number?

The practice phone number listed in the NPPES registry for Kim Nichols is (800) 330-7711.

Is Kim Nichols's NPI active?

Yes — Kim Nichols's NPI (1114261310) is active in the NPPES registry as of the last update on 2012-11-12.

IndividualActive

Kim Nichols

NPI 1114261310 · Occupational Therapy Assistant · Port Orange, FL

Kim Nichols is a Occupational Therapy Assistant provider in Port Orange, FL (NPI 1114261310).

Provider details

NPI number: 1114261310
Entity type: Individual
Primary specialty: Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Sex: Female
Sole proprietor: No
License: A4194 (KY)

Practice location

5535 S Williamson Blvd

Ste 774

Port Orange, FL 32128-8311

Phone: (800) 330-7711

Fax: (866) 426-2811

Street-level locationGet directions

More FL providers

Mailing address

111 Osborne Ln

Madisonville, KY 42431-9766

Specialties & taxonomies

Occupational Therapy AssistantPrimary224Z00000XLicense A4194 (KY)
Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Profile Score

Detailed profile(79/100 index)

A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.

Registry tenure38% of score
14 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.

Enumerated: 2012-11-12
Last updated: 2012-11-12

Frequently asked questions

What is Kim Nichols's NPI number?: Kim Nichols's National Provider Identifier (NPI) is 1114261310, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
What is Kim Nichols's specialty?: Kim Nichols is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
Where is Kim Nichols located?: Kim Nichols's practice location on file with NPPES is 5535 S Williamson Blvd, Port Orange, FL 32128-8311.
What is Kim Nichols's phone number?: The practice phone number listed in the NPPES registry for Kim Nichols is (800) 330-7711.
Is Kim Nichols's NPI active?: Yes — Kim Nichols's NPI (1114261310) is active in the NPPES registry as of the last update on 2012-11-12.

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.

Provider details

Practice location

Mailing address

Specialties & taxonomies

Profile Score

Registry dates

Frequently asked questions

Specialties & taxonomies

Profile Score

Frequently asked questions