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)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 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
Mailing address
Registry dates
- 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.