Individual provider · Type 1 NPI

Tracy Dorgan, COTA

Occupational Therapy Assistant · Pawtucket, RI

NPI number 1700722444 Active

Practice location

588 Pawtucket Ave
Pawtucket, RI 02860-6057

Call (401) 728-6500 Map

Fax (401) 728-6509

Mailing address

8 Pine Hill Rd
Johnston, RI 02919-2890

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA00411 (RI)

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 1700722444

Tracy Dorgan, COTA's National Provider Identifier is 1700722444, issued on Apr 27, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Pawtucket, RI. The record was last updated on Apr 27, 2026.