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

Marvin Lacey, COTA

Individual provider Environmental Modification Occupational Therapy Assistant · NPI 1063122653

Marvin Lacey, COTA is an Environmental Modification Occupational Therapy Assistant in Knoxville, Tennessee. Practices as a sole proprietor. Registered with an NPI since 2022.

In the registry since
2022
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

10133 Sherrill Blvd
Knoxville, TN 37932-3347
Phone: (929) 342-0706
Show map & directions

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

Specialties & licences

Environmental Modification Occupational Therapy Assistant (primary) Taxonomy 224ZE0001X · Licence 0625

Record details

NPI number1063122653
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorYes
NPI enumeratedDecember 5, 2022
Last updated in NPPESDecember 5, 2022
Certification dateDecember 5, 2022
Mailing address2560 Key St Apt 4l, Toledo, OH 43614-4818