MEDICARE: MR. BENJAMIN BRAY 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	0131001410	VA

General Provider Information

NPI Number	:	1699153163
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. BENJAMIN BRAY COTA/L

Provider Business Mailing Address
First Line	:	9140 BELVOIR WOODS PKWY
Second Line	:
City	:	FT BELVOIR
State	:	VA
Zip	:	22060-2703
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	9140 BELVOIR WOODS PKWY
Second Line	:
City	:	FT BELVOIR
State	:	VA
Zip	:	22060-2703
Country	:	US
Telephone Number	:	703-799-1200
Fax Number	:

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

Provider Enumeration Date	:	05/15/2015
Last Update Date	:	05/15/2015

Similar Medicare Providers

1194988576 — MRS. ANGELA G HAIRSTON M.S., CCC-SLP
Practice Location Address:

9160 BELVOIR WOODS PKWY
FT BELVOIR, VA
22060-2703

Practice Phone: 703-781-2457
Practice Fax: 703-799-0189

1649514092 — HANNAH GRASSIE M.S., CCC-SLP
Practice Location Address:

9160 BELVOIR WOODS PKWY
FT BELVOIR, VA
22060-2703

Practice Phone: 703-781-2447
Practice Fax:

1649514043 — OMER TARIQ PTA
Practice Location Address:

9160 BELVOIR WOODS PKWY
FT BELVOIR, VA
22060-2703

Practice Phone: 703-781-2447
Practice Fax: 703-799-0189

1972848273 — SUNDANCE REHABILITION
Practice Location Address:

9160 BELVOIR WOODS PKWY
FT BELVOIR, VA
22060-2703

Practice Phone: 703-781-2447
Practice Fax:

1053748558 — NATALIE A JOHNSON PT
Practice Location Address:

9140 BELVOIR WOODS PKWY
FT BELVOIR, VA
22060-2703

Practice Phone: 703-799-1200
Practice Fax:

1679997399 — MRS. LISA PASTEUR SIMMONS OTR/L
Practice Location Address:

9140 BELVOIR WOODS PKWY
FT BELVOIR, VA
22060-2703

Practice Phone: 703-799-1200
Practice Fax:

Directions to “ MR. BENJAMIN BRAY 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 © 2007-2025 (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.