Individual provider · Type 1 NPI

Heidi Rose Nuckols

Occupational Therapist · Pasadena, CA

NPI number 1053226142 Active

Practice location

351 S Hudson Ave
Pasadena, CA 91101-3599

Call (626) 396-3600 Map

Mailing address

1945 Stratford Ave
South Pasadena, CA 91030-4638

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X2256 (CA)

Occupational Therapist: 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…

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About NPI 1053226142

Heidi Rose Nuckols's National Provider Identifier is 1053226142, issued on Aug 14, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Pasadena, CA. The record was last updated on Aug 14, 2026.