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

Lyndee Black, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1891940862

Lyndee Black, COTA/L is an Occupational Therapy Assistant in Ada, Oklahoma. Practices as a sole proprietor. Licensed in California, Missouri, Ohio and Oklahoma.

Licensed in
CA, MO, OH, OK
In the registry since
2008
Specialties on file
4
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

430 N Monte Vista St
Ada, OK 74820-4610
Phone: (508) 421-1183
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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 1045 (OK)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence OTA 1747 (CA)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence OTA 03939 (OH)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 2005017458 (MO)

Record details

NPI number1891940862
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedNovember 18, 2008
Last updated in NPPESNovember 18, 2008
Mailing address6551 Park Of Commerce Blvd, Boca Raton, FL 33487-8218

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