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

Mr. Nicholas Ray Riveland, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1871109728

Mr. Nicholas Ray Riveland, OTR/L is a Pediatric Occupational Therapist in Eagle, Idaho. Licensed in Idaho. Registered with an NPI since 2020.

Licensed in
ID
In the registry since
2020
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

449 S Fitness Pl
Eagle, ID 83616-6828
Phone: (208) 957-6301
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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 2273 (ID)

Record details

NPI number1871109728
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedSeptember 16, 2020
Last updated in NPPESSeptember 16, 2020
Certification dateSeptember 15, 2020

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