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

Kim A Nichols

Individual provider Occupational Therapy Assistant · NPI 1114261310

Kim A Nichols is an Occupational Therapy Assistant in Port Orange, Florida. Licensed in Kentucky. Registered with an NPI since 2012.

Licensed in
KY
In the registry since
2012

Practice location Address checks out

5535 S Williamson Blvd Ste 774
Port Orange, FL 32128-8311
Phone: (800) 330-7711
Fax: (866) 426-2811
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence A4194 (KY)

Record details

NPI number1114261310
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedNovember 12, 2012
Last updated in NPPESNovember 12, 2012
Mailing address111 Osborne Ln, Madisonville, KY 42431-9766

Other providers in Port Orange