Individual provider · Type 1 NPI

Sage V. Nichelson, OTR/L

Occupational Therapist · Melbourne, FL

NPI number 1114846631 Active

Practice location

4206 Breslay Dr
Melbourne, FL 32940-8442

Call (207) 212-0654 Map

Mailing address

1228 Coastal Meadow Trl
Jacksonville, FL 32218-3546

Specialties and licenses

TaxonomyCodeLicense
Physical Rehabilitation Occupational Therapist 225XP0019XOT24021 (FL)
Occupational Therapist Primary 225X00000XOT24021 (FL)

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 1114846631

Sage V. Nichelson, OTR/L's National Provider Identifier is 1114846631, issued on Jul 10, 2026. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Melbourne, FL. The record was last updated on Jul 10, 2026.