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

Derick Nathaniel Bayersdorfer, COTA

Individual provider Occupational Therapy Assistant · NPI 1134552722

Derick Nathaniel Bayersdorfer, COTA is an Occupational Therapy Assistant in Warrenton, North Carolina. Licensed in Florida and North Carolina. Registered with an NPI since 2013.

Licensed in
FL, NC
In the registry since
2013
Specialties on file
2
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

864 US Hwy 158 Business W
Warrenton, NC 27589
Phone: (252) 257-2011
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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 8813 (NC)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 12319 (FL)

Record details

NPI number1134552722
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedAugust 19, 2013
Last updated in NPPESAugust 19, 2013
Mailing address3216 Sparger Rd, Durham, NC 27705-1651

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