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

Individual provider Occupational Therapist · NPI 1356998801

Nicole Kissmann, OTD, OTR/L is an Occupational Therapist in Maricopa, Arizona. Practices as a sole proprietor. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.
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

40936 W Thornberry Ln
Maricopa, AZ 85138-6572
Phone: (714) 423-7791
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1356998801
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD , OTR/L
Sole proprietorYes
NPI enumeratedAugust 20, 2019
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024

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