Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nicole Ashley Balistreri, MS, OTR/L

Individual provider Occupational Therapist · NPI 1700404597

Nicole Ashley Balistreri, MS, OTR/L is an Occupational Therapist in Waukesha, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2020
What do these letters mean?
MS — Master of Science
A graduate science degree.
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

S11W29667 Summit Ave
Waukesha, WI 53188-9476
Phone: (262) 565-6124
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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 6447-26 (WI)

Record details

NPI number1700404597
Entity typeIndividual (Type 1)
GenderFemale
Credentials MS , OTR/L
Sole proprietorYes
NPI enumeratedJuly 8, 2020
Last updated in NPPESJuly 27, 2020
Certification dateJuly 27, 2020

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