Healthcare Provider Details

I. General information

NPI: 1013553213
Provider Name (Legal Business Name): NIKAYLA TAYLOR COTA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/22/2019
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 N EAST ST
PICKERINGTON OH
43147-1585
US

IV. Provider business mailing address

85 LIBERTY COMMONS RD
COLUMBUS OH
43235-1599
US

V. Phone/Fax

Practice location:
  • Phone: 614-833-2110
  • Fax:
Mailing address:
  • Phone: 330-720-7225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code224Z00000X
TaxonomyOccupational Therapy Assistant
License NumberOTA007780
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: