Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicolas Rivera Rodriguez, MOT, OTR/L

Individual provider Occupational Therapist · NPI 1194579920

Nicolas Rivera Rodriguez, MOT, OTR/L is an Occupational Therapist in Avondale, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2024
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

11202 W Garfield St
Avondale, AZ 85323-7925
Phone: (480) 299-1626
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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-009589 (AZ)

Record details

NPI number1194579920
Entity typeIndividual (Type 1)
GenderMale
Credentials MOT , OTR/L
Sole proprietorYes
NPI enumeratedApril 17, 2024
Last updated in NPPESApril 17, 2024
Certification dateApril 17, 2024

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