Healthcare Provider Details

I. General information

NPI: 1104735547
Provider Name (Legal Business Name): MEGAN BURKEY COTA/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 SR-131
MILFORD OH
45150
US

IV. Provider business mailing address

7276 BERWOOD DR
MADEIRA OH
45243-2142
US

V. Phone/Fax

Practice location:
  • Phone: 513-831-9460
  • Fax:
Mailing address:
  • Phone: 513-646-2355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA003455
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: