Healthcare Provider Details

I. General information

NPI: 1982557674
Provider Name (Legal Business Name): ARIEL COOK COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/20/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 RIDGELY AVE
ANNAPOLIS MD
21401-1303
US

IV. Provider business mailing address

4945 ELM ST
SHADY SIDE MD
20764-9656
US

V. Phone/Fax

Practice location:
  • Phone: 240-531-3443
  • Fax:
Mailing address:
  • Phone: 443-852-7199
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberA03342
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: