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

Katie Nicole Buccellato, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1174290878

Katie Nicole Buccellato, COTA/L is an Occupational Therapy Assistant in Cadyville, New York. Licensed in New York. Registered with an NPI since 2021.

Licensed in
NY
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

128 Park Row Ste 101
Cadyville, NY 12918-2817
Phone: (518) 561-6361
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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 459406 (NY)

Record details

NPI number1174290878
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedAugust 30, 2021
Last updated in NPPESAugust 30, 2021
Certification dateAugust 30, 2021

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