MEDICARE: MRS. KIMBERLY WOODWORTH 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	6019	NC

General Provider Information

NPI Number	:	1851231658
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KIMBERLY WOODWORTH COTA/L

Provider Business Mailing Address
First Line	:	1058 MOYE BLVD
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-3750
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1058 MOYE BLVD
Second Line	:
City	:	GREENVILLE
State	:	NC
Zip	:	27834-3750
Country	:	US
Telephone Number	:	252-412-2859
Fax Number	:

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

Provider Enumeration Date	:	03/31/2026
Last Update Date	:	03/31/2026

Similar Medicare Providers

1962342758 — ANNIE MAE BLAUBACH OTR/L
Practice Location Address:

1058 MOYE BLVD
GREENVILLE, NC
27834-3750

Practice Phone: 252-916-6739
Practice Fax:

1003756842 — CYNTHIA EDWARDS OTA
Practice Location Address:

1058 MOYE BLVD
GREENVILLE, NC
27834-3750

Practice Phone: 252-531-3377
Practice Fax:

1922948603 — KAITLYN ADAMS JAMES
Practice Location Address:

1058 MOYE BLVD
GREENVILLE, NC
27834-3750

Practice Phone: 252-814-7004
Practice Fax:

1578669651 — DR. MARK ANTHONY VELLAN D.C.
Practice Location Address:

3750 S. EVANS ST , STE C
GREENVILLE, NC
27834

Practice Phone: 252-355-1770
Practice Fax: 252-353-1415

1578660999 — DR. LISA DAWN PRUSINSKI D.C.
Practice Location Address:

3750 SOUTH EVANS ST , STE. C
GREENVILLE, NC
27834-5412

Practice Phone: 252-355-1770
Practice Fax: 252-353-1415

1538240189 — SPINE ALIGN CHIROPRACTIC CENTER, PA
Practice Location Address:

3750 EVANS ST , STE. C
GREENVILLE, NC
27834-5412

Practice Phone: 252-355-1770
Practice Fax: 252-353-1415

Directions to “ MRS. KIMBERLY WOODWORTH 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.