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

Nicole L Fredericks, OT

Individual provider Occupational Therapist · NPI 1215034384

Nicole L Fredericks, OT is an Occupational Therapist in Private Practice in Roseville, California. Qualified in 2000, 26 years ago. Practices with Sutter Valley Medical Foundation, a 2,464-clinician group, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
26
Licensed in
CA
In the registry since
2006
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

3 Medical Plaza Dr #100
Roseville, CA 95661-3087
Phone: (916) 781-1157
Fax: (916) 781-1118
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 OT5986 (CA)

Record details

NPI number1215034384
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedSeptember 20, 2006
Last updated in NPPESJuly 24, 2015

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2000 (26 years in practice)
Group practice Sutter Valley Medical Foundation — 2464 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Roseville