MEDICARE: MRS. STEPHANIE PONS 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	17660	NC
2	224Z00000X	Occupational Therapy Assistant	5790	SC

General Provider Information

NPI Number	:	1265329650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. STEPHANIE PONS COTA/L

Provider Business Mailing Address
First Line	:	5704 RILEYS RIDGE RD
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-4353
Country	:	US
Telephone Number	:	413-426-4044
Fax Number	:

Provider Business Practice Location Address
First Line	:	2764 PLEASANT RD STE A
Second Line	:
City	:	FORT MILL
State	:	SC
Zip	:	29708-7214
Country	:	US
Telephone Number	:	704-840-2509
Fax Number	:

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

Provider Enumeration Date	:	06/19/2025
Last Update Date	:	06/19/2025

Similar Medicare Providers

1710449046 — ERIKA DE LA CRUZ MA, LCMHC, LPC, NCC
Practice Location Address:

885 GOLD HILL ROAD , 3004
FORT MILL, SC
29708-7214

Practice Phone: 803-752-0106
Practice Fax:

1295357085 — SPENCER HEALTH AND WELLNESS
Practice Location Address:

2764 PLEASANT RD , STE A PMB 10701
FORT MILL, SC
29708-7214

Practice Phone: 803-262-3667
Practice Fax: 681-662-2733

1013663103 — EBONY P. KENNEDY M.ED., LPC
Practice Location Address:

2764 PLEASANT RD STE A PMB 738
FORT MILL, SC
29708-7214

Practice Phone: 864-275-9926
Practice Fax:

1689540031 — PRO RECOVERY NETWORK LLC
Practice Location Address:

2764 PLEASANT RD STE A
FORT MILL, SC
29708-7214

Practice Phone: 803-517-3632
Practice Fax:

1760316913 — AYTONS ARK OF GRACE HOME CARE LLC
Practice Location Address:

801 NW 4TH AVE
FORT LAUDERDALE, FL
33311-7214

Practice Phone: 954-296-2659
Practice Fax: 954-296-2659

1205089760 — MRS. MARY JO MONTIJO SLP-CCC, MS, TSHH
Practice Location Address:

7214 FORT HAMILTON PKWY , 3B
BROOKLYN, NY
11228-1906

Practice Phone: 347-394-4510
Practice Fax: 347-394-4510

Directions to “ MRS. STEPHANIE PONS 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.