MEDICARE: HANNAH MARIE ADKINS COTA

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	211253	TX
2	224Z00000X	Occupational Therapy Assistant	OTA16442	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982953386
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HANNAH MARIE ADKINS COTA

Provider Business Mailing Address
First Line	:	5355 COX LN
Second Line	:
City	:	CRESTVIEW
State	:	FL
Zip	:	32539-8136
Country	:	US
Telephone Number	:	864-350-2769
Fax Number	:	817-789-6849

Provider Business Practice Location Address
First Line	:	1000 SAINT LOUIS AVE
Second Line	:	SUITE 102
City	:	FORT WORTH
State	:	TX
Zip	:	76104-3366
Country	:	US
Telephone Number	:	817-921-5020
Fax Number	:	817-789-6849

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

Provider Enumeration Date	:	08/31/2012
Last Update Date	:	01/21/2021

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Directions to “ HANNAH MARIE ADKINS COTA” Practice Location

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