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

Crystal Ponds, COTA

Individual provider Occupational Therapist · NPI 1558626465

Crystal Ponds, COTA is an Occupational Therapist in Wilson, Kansas. Licensed in Kansas. Registered with an NPI since 2012.

Licensed in
KS
In the registry since
2012
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

611 31st St
Wilson, KS 67490-8740
Phone: (785) 658-2505
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence T-03094 (KS)

Record details

NPI number1558626465
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedJuly 6, 2012
Last updated in NPPESJuly 6, 2012
Mailing address1226 E Ellsworth Ave, Salina, KS 67401-8309

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