Individual provider · Type 1 NPI

Payton A. Wothe, COTA

Occupational Therapy Assistant · Fargo, ND

NPI number 1093659484 Active

Practice location

4575 23rd Ave S Ste 400
Fargo, ND 58104-8783

Fax (701) 404-8274

Mailing address

1502 Belsly Blvd Apt 210
Moorhead, MN 56560-5197

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XNone listed

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 1093659484

Payton A. Wothe, COTA's National Provider Identifier is 1093659484, issued on Apr 16, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fargo, ND. The record was last updated on Apr 16, 2026.