Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kelly Marie Nicolosi, OTR

Individual provider Occupational Therapist · NPI 1720105430

Kelly Marie Nicolosi, OTR is an Occupational Therapist in Fort Myers, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
In the registry since
2007
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

9670 Las Casas Dr
Fort Myers, FL 33919-8409
Phone: (239) 466-0890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT11094 (FL)

Record details

NPI number1720105430
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorYes
NPI enumeratedMarch 26, 2007
Last updated in NPPESJuly 8, 2007

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