Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Matthew David Donaldson, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1639670987

Matthew David Donaldson, COTA/L is an Occupational Therapy Assistant in Kingsport, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2018
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

2300 Pavilion Dr
Kingsport, TN 37660-4622
Phone: (423) 765-9655
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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 2108 (TN)

Record details

NPI number1639670987
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedFebruary 22, 2018
Last updated in NPPESFebruary 22, 2018

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