Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mrs. Nicole Peterson Lucking, OTR

Individual provider Occupational Therapist · NPI 1194847640

Mrs. Nicole Peterson Lucking, OTR is an Occupational Therapist in Santa Monica, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

3303 Pico Blvd
Santa Monica, CA 90405-2156
Phone: (310) 490-2257
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 2873 (CA)

Record details

NPI number1194847640
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR
Sole proprietorNo
NPI enumeratedApril 4, 2007
Last updated in NPPESSeptember 14, 2026
Certification dateSeptember 14, 2026

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