Individual provider · Type 1 NPI

Phyllis Lynne Pendergrast, COTA

Occupational Therapy Assistant · Fort Collins, CO

NPI number 1942941000 Active

Practice location

2201 S Lemay Ave
Fort Collins, CO 80525-1900

Call (888) 966-9435 Map

Mailing address

3322 Picasso Dr
Loveland, CO 80538-5831

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000XOTA.0001071 (CO)

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 1942941000

Phyllis Lynne Pendergrast, COTA's National Provider Identifier is 1942941000, issued on Apr 5, 2022. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Fort Collins, CO. The record was last updated on Apr 5, 2022.