MEDICARE: KELLY ERIN BRANDT COTA/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	17276	FL

General Provider Information

NPI Number	:	1215696380
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KELLY ERIN BRANDT COTA/L

Provider Business Mailing Address
First Line	:	510 DUXBURY CT APT B
Second Line	:
City	:	SAFETY HARBOR
State	:	FL
Zip	:	34695-4316
Country	:	US
Telephone Number	:	727-804-0419
Fax Number	:

Provider Business Practice Location Address
First Line	:	510 DUXBURY CT APT B
Second Line	:
City	:	SAFETY HARBOR
State	:	FL
Zip	:	34695-4316
Country	:	US
Telephone Number	:	727-804-0419
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/15/2021
Last Update Date	:	12/15/2021

Similar Medicare Providers

1285140186 — BRIAN COOPER
Practice Location Address:

510 DUXBURY CT APT A
SAFETY HARBOR, FL
34695-4316

Practice Phone: 727-754-4936
Practice Fax: 866-496-4382

1326152901 — DR. DAN A. KNELLINGER D.M.D.
Practice Location Address:

1246 FLORIDA AVE
PALM HARBOR, FL
34683-4316

Practice Phone: 727-785-3383
Practice Fax: 727-785-3378

1043479546 — DR. STACEY KNELLINGER VERKLER
Practice Location Address:

1246 FLORIDA AVE
PALM HARBOR, FL
34683-4316

Practice Phone: 727-785-3383
Practice Fax: 727-785-3378

1487098109 — DAN A. KNELLINGER DMD, PA
Practice Location Address:

1246 FLORIDA AVE
PALM HARBOR, FL
34683-4316

Practice Phone: 727-785-3383
Practice Fax: 727-785-3378

1467831172 — DR. CAROL KNELLINGER BOU-SLIMAN D.M.D.
Practice Location Address:

1246 FLORIDA AVE
PALM HARBOR, FL
34683-4316

Practice Phone: 727-785-3383
Practice Fax: 727-785-3378

1487225827 — COASTLINE EMERGENCY PHYSICIANS LLC
Practice Location Address:

3231 MCMULLEN BOOTH RD
SAFETY HARBOR, FL
34695-6607

Practice Phone: 954-939-5000
Practice Fax: 877-250-6889

Directions to “ KELLY ERIN BRANDT COTA/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.