IndividualActive
Nicole Teater, COTA
NPI 1811291057 · Occupational Therapy Assistant · Orange City, FL
Provider details
- NPI number
- 1811291057
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- OTA 11355 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(82/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 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
500 Grand Plaza Dr
Orange City, FL 32763-7900
Phone: (386) 775-3561
Street-level locationGet directions
Mailing address
945 Glenwood Rd
Deland, FL 32720-2376
Registry dates
- Enumerated
- 2011-01-03
- Last updated
- 2011-01-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.