Healthcare Provider Details

I. General information

NPI: 1831009968
Provider Name (Legal Business Name): ALEXANDRA CARVETH COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

17096 E TRAILMASTER DR
PARKER CO
80134-4351
US

IV. Provider business mailing address

17096 E TRAILMASTER DR
PARKER CO
80134-4351
US

V. Phone/Fax

Practice location:
  • Phone: 720-331-5175
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA.0001944
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: