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

Charles Alexander, COTA

Individual provider Occupational Therapy Assistant · NPI 1154092419

Charles Alexander, COTA is an Occupational Therapy Assistant in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2021.

Licensed in
TN
In the registry since
2021
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

156 Shadybrook Dr
Johnson City, TN 37604-3514
Phone: (423) 794-6315
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence OTA0000003226 (TN)

Record details

NPI number1154092419
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedSeptember 25, 2021
Last updated in NPPESSeptember 25, 2021
Certification dateSeptember 25, 2021
Mailing address156 Shadybrook Dr, Johnson City, TN 37604-3514

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