Healthcare Provider Details

I. General information

NPI: 1740109768
Provider Name (Legal Business Name): MELISSA ASHLEY BROWNSTEIN COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9960 CENTRAL PARK BLVD N STE 400
BOCA RATON FL
33428-1705
US

IV. Provider business mailing address

9591 NW 48TH MNR
CORAL SPRINGS FL
33076-2464
US

V. Phone/Fax

Practice location:
  • Phone: 561-488-8290
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA18040
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: