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

Nicole Marie Chisholm, OTR/L

Individual provider Pediatric Occupational Therapist · NPI 1013592542

Nicole Marie Chisholm, OTR/L is a Pediatric Occupational Therapist in Hudson, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2021.

Licensed in
WI
In the registry since
2021
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

2705 Enloe St
Hudson, WI 54016-8173
Phone: (715) 690-2600
Fax: (715) 381-8131
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X · Licence 6936-26 (WI)

Record details

NPI number1013592542
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedMarch 16, 2021
Last updated in NPPESJanuary 18, 2022
Certification dateJanuary 18, 2022

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