Active NPI
Nicole Reaves, MS, OTR/L, CHT
- Hand Occupational Therapist
- Anaheim, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 14414
- 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, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| California Rehabilitation & Sports Therapy a California Physical Ther | Current | Accepting new patients | |
| Laguna Beach Rehab, Inc. | Occupational Therapist | Current | Accepting new patients |
| Hands on Rehab & Aquatics | Current | Accepting new patients | |
| California Rehabilitation & Sports Therapy a California Physical Ther | Current | Accepting new patients | |
| California Rehab & Sports Therapy | Current | Accepting new patients | |
| Hands on Rehab, Inc. | Occupational Therapist | Current | Accepting new patients |
| Laguna Beach Rehab Inc | Current | Accepting new patients | |
| Magnolia Physical Therapy, Inc | Current | 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
- 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.
-
dba Corona del Mar Rehab, Inc
- Clinic/Center
- Newport Beach, CA
- NPI 1164466785
Occupational Therapist
-
dba California Rehabilitation & Sports Therapy
- Multi-Specialty Clinic/Center
- Mission Viejo, CA
- NPI 1386696409
-
- Physical Therapist
- Newport Beach, CA
- NPI 1356589816
-
dba Anaheim Physical Therapy and Aquatic Rehab
- Clinic/Center
- Huntington Beach, CA
- NPI 1982642336
-
- Multi-Specialty Clinic/Center
- Los Angeles, CA
- NPI 1508540279
-
dba California Hand Therapy
- Physical Therapy Clinic/Center
- Brea, CA
- NPI 1063465441
-
- Clinic/Center
- Laguna Beach, CA
- NPI 1578514832
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.