Individual provider · Type 1 NPI

Shane Elder, COTA

Occupational Therapy Assistant · Seal Beach, CA

NPI number 1225945215 Active

Practice location

124 Cottonwood Ln
Seal Beach, CA 90740-5970

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X7594 (CA)

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 1225945215

Shane Elder, COTA's National Provider Identifier is 1225945215, issued on Aug 25, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Seal Beach, CA. The record was last updated on Aug 25, 2026.