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

Nicole Latrice Bradley

Individual provider Environmental Modification Occupational Therapy Assistant · NPI 1093698995

Nicole Latrice Bradley is an Environmental Modification Occupational Therapy Assistant in Lombard, Illinois. Licensed in Illinois. Registered with an NPI since 2025.

Licensed in
IL
In the registry since
2025

Practice location Address checks out

840 Foxworth Blvd Apt 215
Lombard, IL 60148-4897
Phone: (630) 781-1040
Show map & directions

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

Specialties & licences

Environmental Modification Occupational Therapy Assistant (primary) Taxonomy 224ZE0001X · Licence 057004391 (IL)

Record details

NPI number1093698995
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 28, 2025
Last updated in NPPESJuly 28, 2025
Certification dateJuly 28, 2025