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

Mark Russell Bantug, COTA

Individual provider Occupational Therapy Assistant · NPI 1881544039

Mark Russell Bantug, COTA is an Occupational Therapy Assistant in Stony Point, New York. Licensed in New York. Registered with an NPI since 2026.

Licensed in
NY
In the registry since
2026
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

40 Walter Dr
Stony Point, NY 10980-1039
Phone: (914) 441-1417
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 009562 (NY)

Record details

NPI number1881544039
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedJanuary 29, 2026
Last updated in NPPESJanuary 29, 2026
Certification dateJanuary 29, 2026
Mailing address40 Walter Dr, Stony Point, NY 10980-1039