MEDICARE: CATHERINE IVY CHARLES COTA/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	224Z00000X	Occupational Therapy Assistant	OTA19155	FL

General Provider Information

NPI Number	:	1164235628
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE IVY CHARLES COTA/L

Provider Business Mailing Address
First Line	:	601 KINGSWOOD AVE
Second Line	:
City	:	MELBOURNE
State	:	FL
Zip	:	32935-4214
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3490 GRAN AVE NE
Second Line	:
City	:	PALM BAY
State	:	FL
Zip	:	32905-6044
Country	:	US
Telephone Number	:	321-754-7308
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2025
Last Update Date	:	01/29/2025

Similar Medicare Providers

1063226587 — CAROL MCCAUSLIN
Practice Location Address:

3490 GRAN AVE NE
PALM BAY, FL
32905-6044

Practice Phone: 321-426-1785
Practice Fax:

1548056930 — DESTYNI WILLIAMS OTR/L
Practice Location Address:

3490 GRAN AVE NE
PALM BAY, FL
32905-6044

Practice Phone: 321-345-9834
Practice Fax:

1871997262 — MISS KAITLYN MURPHY
Practice Location Address:

2265 SW OLYMPIC CLUB TER
PALM CITY, FL
34990-6044

Practice Phone: 772-215-5560
Practice Fax:

1346095551 — PAMELA CRAWFORD DELL
Practice Location Address:

8176 NASHUA DR
PALM BEACH GARDENS, FL
33418-6044

Practice Phone: 561-601-6972
Practice Fax:

1790191666 — MS. SUZANNE BLEA
Practice Location Address:

6044 EMMA BAY CT UNIT 103
NORTH LAS VEGAS, NV
89031-3777

Practice Phone: 818-726-2851
Practice Fax:

1841980778 — MS. BRANDEE GUTOWSKY RN, IBCLC
Practice Location Address:

8202 SEENO AVE
GRANITE BAY, CA
95746-6044

Practice Phone: 562-665-0185
Practice Fax:

Directions to “ CATHERINE IVY CHARLES COTA/L” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.