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

Nicole Bertolino Bourne, OTR/L

Individual provider Occupational Therapist · NPI 1356809925

Nicole Bertolino Bourne, OTR/L is an Occupational Therapist in Wake Forest, North Carolina. Licensed in North Carolina and South Carolina. Registered with an NPI since 2019.

Licensed in
NC, SC
In the registry since
2019
Specialties on file
2
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

900 S Franklin St Ste 201
Wake Forest, NC 27587-2799
Phone: (973) 567-1913
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 5469 (SC)
Occupational Therapist Taxonomy 225X00000X · Licence 14379 (NC)

Record details

NPI number1356809925
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMarch 3, 2019
Last updated in NPPESMarch 30, 2023
Certification dateMarch 30, 2023

Other providers in Wake Forest