Individual provider · Type 1 NPI

Nicole Peterson Lucking, OTR

Occupational Therapist · Santa Monica, CA

NPI number 1194847640 Active

Practice location

3303 Pico Blvd
Santa Monica, CA 90405-2156

Mailing address

1534 12th St
Santa Monica, CA 90401-3006

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X2873 (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 1194847640

Nicole Peterson Lucking, OTR's National Provider Identifier is 1194847640, issued on Apr 4, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Santa Monica, CA. The record was last updated on Sep 14, 2026.