Individual provider · Type 1 NPI

Journey Polacek, COTA

Occupational Therapy Assistant · Neosho, MO

NPI number 1023966835 Active

Practice location

1105 Village Rd
Neosho, MO 64850-9076

Fax (352) 565-5201

Mailing address

8477 S Suncoast Blvd
Homosassa, FL 34446-5028

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X2026003984 (MO)

Occupational Therapy Assistant: An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examinatio…

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About NPI 1023966835

Journey Polacek, COTA's National Provider Identifier is 1023966835, issued on Mar 18, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Neosho, MO. The record was last updated on Mar 18, 2026.