Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Caleb Glen Nicoll, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1164298246

Caleb Glen Nicoll, OTR/L is a Pediatric Occupational Therapist in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2023
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

5048 E Oak St
Phoenix, AZ 85008-2522
Phone: (602) 629-6800
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence OTH-009425 (AZ)

Record details

NPI number1164298246
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedNovember 29, 2023
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023

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