Individual provider Active NPI

Nicole Reaves, MS, OTR/L, CHT

  • Hand Occupational Therapist
  • Anaheim, CA
National Provider Identifier
1235544354
Registry record updated Jul 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
14414 Issued in CA
Practice address
5630 E Santa Ana Canyon Rd Ste 105
Anaheim, CA 92807
Phone
(714) 282-7701
NPI assigned
Jun 26, 2014
Last updated
Jul 18, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 14414 CA
Hand Occupational Therapist 225XH1200X 14414 CA Primary

Addresses

Primary practice location

5630 E Santa Ana Canyon Rd Ste 105
Anaheim, CA 92807

Mailing address

200 Newport Center Dr Ste 213
Newport Beach, CA 92660-7503
Phone (949) 644-1322

Other practice location 1

1700 Adams Ave
Suite 103
Costa Mesa, CA 92626-4865
Phone (714) 556-2288

Other names 1

  • Nicole Lokietz Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140909002832 CA Practitioner - Occupational Therapist in Private Practice 5395964100 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
California School of Podiatric Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laguna Beach Rehab IncGroup PAC ID 4688686538, 14 clinicians

Practice addresses (Care Compare)

31852 Coast Hwy
Suite 303
Laguna Beach, CA 92651-6766
Phone (949) 499-9559

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
California Rehabilitation & Sports Therapy a California Physical Ther CurrentSince Oct 1, 2014 Accepting new patients
Laguna Beach Rehab, Inc. Occupational Therapist CurrentSince Jun 6, 2021 Accepting new patients
Hands on Rehab & Aquatics CurrentSince May 1, 2019 Accepting new patients
California Rehabilitation & Sports Therapy a California Physical Ther Current Accepting new patients
California Rehab & Sports Therapy CurrentSince Oct 1, 2014 Accepting new patients
Hands on Rehab, Inc. Occupational Therapist CurrentSince May 1, 2019 Accepting new patients
Laguna Beach Rehab Inc CurrentSince Jun 6, 2021 Accepting new patients
Magnolia Physical Therapy, Inc CurrentSince Dec 6, 2022 Accepting new patients

Locations

505 N Euclid St
Ste 680
Anaheim, CA 92801
Phone (714) 780-0010

471 W Lambert Rd
Ste 106
Brea, CA 92821
Phone (714) 255-8877

19032 Magnolia St
Huntington Beach, CA 92646
Phone (714) 968-3003

7921 Professional Cir
Huntington Beach, CA 92648
Phone (714) 847-8751

31852 Coast Hwy
Ste 303
Laguna Beach, CA 92651
Phone (949) 499-3085

26302 La Paz Rd
Ste 105
Mission Viejo, CA 92691
Phone (949) 206-1700

1441 Avocado Ave
Ste 307
Newport Beach, CA 92660
Phone (858) 247-2933

1601 Dove St
Ste 130
Newport Beach, CA 92660

1601 Dove St
Ste 242
Newport Beach, CA 92660
Phone (714) 847-8751

200 Newport Center Dr
Ste 213
Newport Beach, CA 92660
Phone (949) 644-0316

Interoperability endpoints

  • Direct secure messaging: nicole.lokietz.p46@direct.newportmed.nextgenshare.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1531872000000",
    "number": "1235544354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 NEWPORT CENTER DR STE 213",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607503",
            "telephone_number": "949-644-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5630 E SANTA ANA CANYON RD STE 105",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92807",
            "telephone_number": "714-282-7701"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Adams Ave",
            "address_2": "Suite 103",
            "address_purpose": "LOCATION",
            "city": "Costa Mesa",
            "state": "CA",
            "postal_code": "926264865",
            "country_code": "US",
            "telephone_number": "714-556-2288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REAVES",
        "first_name": "NICOLE",
        "credential": "MS, OTR/L, CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-26",
        "last_updated": "2018-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "14414",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "CA",
            "license": "14414",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NICOLE",
            "last_name": "LOKIETZ",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Anaheim, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.