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

Nicole Joan Richardson, OTR/L

Individual provider Occupational Therapist · NPI 1568092203

Nicole Joan Richardson, OTR/L is an Occupational Therapist in Private Practice in Vincennes, Indiana. Qualified in 2019, 7 years ago. Practices with Prorehab Inc, a 81-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
7
Licensed in
IL, IN
In the registry since
2020
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.

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Practice location Address checks out

2121 Willow St
Vincennes, IN 47591-5355
Phone: (812) 882-1141
Fax: (812) 255-0045
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 110 Carver Ln, East Peoria, IL 61611-3052 — (309) 282-6704
  • 5533 N Galena Rd, Peoria Heights, IL 61616-4447 — (309) 682-5428

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 31007705A (IN)
Occupational Therapist Taxonomy 225X00000X · Licence 056.013428 (IL)

Record details

NPI number1568092203
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJanuary 22, 2020
Last updated in NPPESApril 26, 2022
Certification dateApril 26, 2022

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Prorehab Inc — 81 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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