NICKOLAS HETHERINGTON


Address: 1900 S Harbor City Blvd Ste 108, Melbourne, FL 32901
Phone: 8336845439

NICKOLAS HETHERINGTON (NPI# 1467804278) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1467804278
Entity Type Individual
Full Name NICKOLAS HETHERINGTON
Credential OTR/L
Practice Address 1900 S Harbor City Blvd Ste 108
Melbourne
FL 32901
Mailing Address 868 Westport Dr
Rockledge
FL 32955-3566
Practice Telephone 8336845439
Practice Fax Number 3216845439
Mailing Telephone 8336845439
Mailing Fax Number 3212863020
Enumeration Date 2016-07-05
Last Update Date 2018-11-16
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225X00000X Occupational Therapist OT17856 FL Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Provider Secondary Practice Location

Address Telephone Number Fax Number
1634 Saladino St Se, Palm Bay, FL 329095425 8336845439 3212863020
1800 Penn St, Suite 12, Melbourne, FL 329012643 3217686800 3217686858

Office Location

Street Address 1900 S HARBOR CITY BLVD STE 108
City MELBOURNE
State FL
Zip Code 32901

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1467062943 George Pappas Anesthesiologist Assistant 1775 W. Hibiscus Blvd., Ste 215, Melbourne, FL 32901 2020-08-09
1124676820 Abbi Dell Lee Behavioral Analyst 3251 Engineering St, Melbourne, FL 32901 2019-08-27
1750856878 Jeffrey Michael Cavanagh Behavior Technician 3251 Engineering Street, Melbourne, FL 32901 2018-10-04
1740766021 Amanda Miller Behavior Technician 1885 W Hibiscus Blvd, Melbourne, FL 32901 2018-07-19
1396244406 Dragen II LLC Urology 129 W Hibiscus Blvd Ste D, Melbourne, FL 32901 2018-02-03
1225550692 Cabrit Psychotherapy Services LLC Marriage & Family Therapist 100 Rialto Place, Suite 700, Melbourne, FL 32901 2017-07-07
1487188058 Project Response, Inc. Clinic/Center 747 S. Apollo Boulevard, Melbourne, FL 32901 2017-04-20
1184174575 Paulette Swanson Physical Therapist 611 East Sheridan Rd, Melbourne, FL 32901 2016-10-10
1841747839 Nicholas Wilson Social Worker 3661 S. Babcock St., Melbourne, FL 32901 2016-09-07
1962809897 Independent Lung Associates, Pa Specialist 1314 Oak Street, Melbourne, FL 32901 2014-11-20
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Taxonomy Information

Taxonomy Code 225X00000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Occupational Therapist

Taxonomy Definition

An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1134622301 Lori Karlin Occupational Therapist 4280 Windover Way, Melbourne, FL 32934-8515 2018-03-14
1053849968 Alexandra L Marston Occupational Therapist 7000 Spyglass Ct Ste 120, Melbourne, FL 32940-7948 2017-05-23
1538601554 Brian David Johnson Occupational Therapist 7370 Cabot Ct Ste 101, Melbourne, FL 32940-8263 2016-11-08
1376917294 Heather Marie Engel Occupational Therapist 2685 Kingdom Ave, Melbourne, FL 32934-7587 2015-11-16
1225449366 Judy K Carroll Occupational Therapist 3063 Sweet Pine Dr, Melbourne, FL 32935-4587 2014-05-12
1366773186 Rachel H Vickers Occupational Therapist 1800 Penn St Ste 312, Melbourne, FL 32901-2643 2010-01-18
1801070826 Zindy Padilla Occupational Therapist 3040 North Harbor City Boulvard, Suite 7, Melbourne, FL 32935 2007-12-27
1053513556 Amaisa Garcia Changcoco Occupational Therapist 3040 N Wickham Rd Ste 7, Melbourne, FL 32935-2369 2007-06-05
1659498533 Jennifer Ditscheit Occupational Therapist 4001 Stack Blvd., Melbourne, FL 32901 2007-03-23
1346301165 Colleen Martonick Occupational Therapist 405 N Wickham Rd Ste 103, Melbourne, FL 32935 2006-12-13
Find all providers in MELBOURNE

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City MELBOURNE
Zip Code 32901

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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