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

Elyse Amanda Smith, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1114690625

Elyse Amanda Smith, COTA/L is an Occupational Therapy Assistant in Medford, Oregon. Practices as a sole proprietor. Licensed in Oregon.

Licensed in
OR
In the registry since
2021
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

835 Crater Lake Ave
Medford, OR 97504-6505
Phone: (541) 773-7717
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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 357472 (OR)

Record details

NPI number1114690625
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedJuly 29, 2021
Last updated in NPPESJuly 29, 2021
Certification dateJuly 29, 2021
Mailing address25117 Sw Parkway Ave Ste D, Wilsonville, OR 97070-9697

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