Individual provider · Type 1 NPI
Mark Russell Bantug, COTA
Occupational Therapy Assistant · Stony Point, NY
Practice location
40 Walter Dr
Stony Point, NY 10980-1039
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | 009562 (NY) |
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…
Another provider at this address
About NPI 1881544039
Mark Russell Bantug, COTA's National Provider Identifier is 1881544039, issued on Jan 29, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Stony Point, NY. The record was last updated on Jan 29, 2026.