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

Mr. Jacob William Nicoll, OTR

Individual provider Occupational Therapist · NPI 1407621352

Mr. Jacob William Nicoll, OTR is an Occupational Therapist in Scottsdale, Arizona. Licensed in Arizona. Registered with an NPI since 2023.

Licensed in
AZ
In the registry since
2023
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

8679 E San Alberto
Scottsdale, AZ 85258-4368
Phone: (480) 447-3262
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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 OTH-009424 (AZ)

Record details

NPI number1407621352
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorNo
NPI enumeratedNovember 21, 2023
Last updated in NPPESNovember 21, 2023
Certification dateNovember 1, 2023

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