Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Chanel Blake, COTA

Individual provider Occupational Therapy Assistant · NPI 1164201943

Chanel Blake, COTA is an Occupational Therapy Assistant in New York, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
Specialties on file
5
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

123 E 110th St Ste 6D
New York, NY 10029
Phone: (646) 489-2579
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X (NY)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 011416-01 (NY)
Physical Therapist Taxonomy 225100000X (NY)
Occupational Therapist Taxonomy 225X00000X (NY)
Speech-Language Pathologist Taxonomy 235Z00000X (NY)

Record details

NPI number1164201943
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedSeptember 21, 2023
Last updated in NPPESSeptember 21, 2023
Certification dateSeptember 21, 2023

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