Sally Aitken, COTA
Individual provider Active NPI Occupational Therapy Assistant · Austin, TX
NPI 1831517465 · NPPES record last updated Apr 1, 2014
Key facts
- NPI
- 1831517465
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 205876 (TX)
- Practice address
- 3721 Executive Center Dr
Suite 201
Austin, TX 78731-1645 - Phone
- (512) 372-3777
- NPI assigned
- Apr 1, 2014
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 205876 | TX | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 205876 | TX | Yes |
Addresses
Primary practice location
3721 Executive Center Dr
Suite 201
Austin, TX 78731-1645
Mailing address
3721 Executive Center Dr
Suite 201
Austin, TX 78731-1645
Phone (512) 372-3777
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All providers in Austin, TX · Occupational Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 1, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.