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

Mrs. Nicole Marie Gordon, OTR

Individual provider Occupational Therapist · NPI 1164636064

Mrs. Nicole Marie Gordon, OTR is an Occupational Therapist in Saint Paul, Minnesota. Licensed in Minnesota. Registered with an NPI since 2007.

Licensed in
MN
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

360 Colborne St
Saint Paul, MN 55102-3228
Phone: (651) 341-8361
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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 102111 (MN)

Record details

NPI number1164636064
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedMay 9, 2007
Last updated in NPPESApril 2, 2026
Certification dateApril 2, 2026

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