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

Marlea Tyler Pridemore, COTA

Individual provider Occupational Therapy Assistant · NPI 1609442623

Marlea Tyler Pridemore, COTA is an Occupational Therapy Assistant in Johnson City, Tennessee. Licensed in Tennessee. Registered with an NPI since 2021.

Licensed in
TN
In the registry since
2021
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

2412 Knob Creek Rd
Johnson City, TN 37604-2586
Phone: (423) 518-0002
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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 3548 (TN)

Record details

NPI number1609442623
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedJune 1, 2021
Last updated in NPPESJune 1, 2021
Certification dateJune 1, 2021

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