Nicholas Chin
Individual provider Active NPI Occupational Therapist · Winter Garden, FL
NPI 1225786155 · NPPES record last updated Mar 10, 2022
Key facts
- NPI
- 1225786155
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 22877 (FL)
- Practice address
- 1441 Winter Garden Vineland Rd
Winter Garden, FL 34787-4303 - Phone
- (407) 852-3300
- NPI assigned
- Mar 10, 2022
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 3
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sobe Innovative Rehabilitation PLLC
Practice addresses (Care Compare)
Miami, FL 33179
Phone (786) 770-9480
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250212001878 | FL | Practitioner - Occupational Therapist in Private Practice | 7719417237 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 22877 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Simply Integrated Health LLC | Occupational Therapist | Current |
Accepting new patients |
| Strength and Balance Institute | Occupational Therapist | Current |
Accepting new patients |
| Sobe Innovative Rehabilitation PLLC | Occupational Therapist | Current |
Accepting new patients |
Locations
2777 NE 183rd St
Aventura, FL 33160
Phone (305) 405-2014
100 E Pine St
Ste 110
Orlando, FL 32801
Phone (267) 903-6779
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 22877 | FL | Yes |
Addresses
Primary practice location
1441 Winter Garden Vineland Rd
Winter Garden, FL 34787-4303
Mailing address
2999 Biltmore Park Dr Apt 201
Orlando, FL 32835-2477
Phone (718) 309-5881
Other providers in Winter Garden, FL
- Champion Orthodontics
- Michelle Meizhong Chan
- Evan Paige Chastain
- Christina Cheeseman
- Karina Cuentro Chernacov
- Nicole Christine Chinn
- Woowon Choi
- Vivian Chouinard
- Shannon Christian PA
- Brittany Margaret Christiansen
All providers in Winter Garden, FL · Occupational Therapist in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 10, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.