MEDICARE: ERIN NICOLE BAILEY 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	224ZE0001X	Environmental Modification Occupational Therapy Assistant	057.004595	IL

General Provider Information

NPI Number	:	1700343563
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIN NICOLE BAILEY COTA/L

Provider Business Mailing Address
First Line	:	202 N CHURCH ST
Second Line	:
City	:	PITTSBURG
State	:	IL
Zip	:	62974-1110
Country	:	US
Telephone Number	:	618-841-5272
Fax Number	:

Provider Business Practice Location Address
First Line	:	202 N CHURCH ST
Second Line	:
City	:	PITTSBURG
State	:	IL
Zip	:	62974-1110
Country	:	US
Telephone Number	:	618-841-5272
Fax Number	:

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

Provider Enumeration Date	:	02/27/2019
Last Update Date	:	02/27/2019

Similar Medicare Providers

1821264185 — JENNY L FELTY
Practice Location Address:

11131 PAULTON RD
PITTSBURG, IL
62974-1709

Practice Phone: 618-922-0717
Practice Fax:

1912610965 — SHAWNEE HEALTH SERVICE AND DEVELOPMENT CORP
Practice Location Address:

20163 CORINTH RD
PITTSBURG, IL
62974-1449

Practice Phone: 618-519-9200
Practice Fax: 618-988-0880

1508836362 — MRS. LYN E. FLAHARDY LCSW
Practice Location Address:

109 LOU ANN DR
HERRIN, IL
62948-3733

Practice Phone: 618-988-1330
Practice Fax: 618-988-8321

1629159124 — MR. WILLIAM JONES
Practice Location Address:

2300 W MAIN ST
MARION, IL
62959-1179

Practice Phone: 618-993-1406
Practice Fax: 618-993-5519

1821516998 — MRS. BETHANY JOY DWYER MS/CCC-SLP
Practice Location Address:

4877 STATE HIGHWAY 148
MULKEYTOWN, IL
62865-3295

Practice Phone: 618-596-2121
Practice Fax:

1801436175 — DEBBIE JANE HEARN
Practice Location Address:

100 DR WARREN TUTTLE DR
HARRISBURG, IL
62946-2718

Practice Phone: 618-253-0462
Practice Fax: 618-253-7104

Directions to “ ERIN NICOLE BAILEY 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.