Healthcare Provider Details

I. General information

NPI: 1225942485
Provider Name (Legal Business Name): TIMOTHY LINT COTA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6800 COMMONWEALTH BLVD
PARMA HEIGHTS OH
44130-4211
US

IV. Provider business mailing address

6800 COMMONWEALTH BLVD
PARMA HEIGHTS OH
44130-4211
US

V. Phone/Fax

Practice location:
  • Phone: 440-885-8788
  • Fax:
Mailing address:
  • Phone: 440-885-8788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA008719
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: