Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Isabella Ruby Smith, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1447803507

Isabella Ruby Smith, COTA/L is an Occupational Therapy Assistant in Champaign, Illinois. Practices as a sole proprietor. Licensed in Illinois.

Licensed in
IL
In the registry since
2019
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

4112 Fieldstone Rd Ste B
Champaign, IL 61822
Phone: (888) 308-3728
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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 057004851 (IL)

Record details

NPI number1447803507
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedJuly 18, 2019
Last updated in NPPESJuly 18, 2019
Mailing address503 Giant City Rd, Monticello, IL 61856-8189

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