Organization · Type 2 NPI

Imago Rehab, Inc

Neurorehabilitation Occupational Therapist · Lowell, MA

NPI number 1205407236 Active

Practice location

110 Canal St, 3rd Floor
Lowell, MA 01852

Call (617) 671-0789 Map

Fax (617) 250-8243

Mailing address

110 Canal St Ste 3
Lowell, MA 01852-4589

Specialties and licenses

Taxonomy	Code	License
Neurorehabilitation Occupational Therapist Primary	225XN1300X	None listed

Neurorehabilitation Occupational Therapist: Definition to come...

Another provider at this address

Kristin Nuckols, OTR/LNeurorehabilitation Occupational Therapist Lowell, MA NPI 1003148594

NPI record

NPI: 1205407236
Entity type: Organization (Type 2)
Issued: Jul 9, 2021
Last updated: Apr 29, 2026
Status: Active

Other names

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Imago Rehab, Inc. · other name
Imago Rehab, Inc. · other name

Authorized official

Dr. Kristin Nuckols, OTD, MOT, OTR/L
Chief Clinical Officer
(617) 671-0789

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1205407236

Imago Rehab, Inc's National Provider Identifier is 1205407236, issued on Jul 9, 2021. The primary taxonomy on file is Neurorehabilitation Occupational Therapist (225XN1300X), and the practice location is in Lowell, MA. The record was last updated on Apr 29, 2026.