Individual provider · Type 1 NPI

Nicole Wiese, RBT

Occupational Therapist · Richmond, VA

NPI number 1194282228 Active · reactivated Jul 31, 2026

Practice location

2601 Willard Road, Ste 105
Richmond, VA 23294

Call (804) 365-2047 Map

Fax (804) 716-7186

Mailing address

1640 E Parham Road
Richmond, VA 23228

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Occupational Therapist Primary 225X00000X3129 (NE)

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 1194282228

Nicole Wiese, RBT's National Provider Identifier is 1194282228, issued on Feb 25, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Richmond, VA. The record was last updated on Aug 4, 2026.