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

Michael Derose, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1417581646

Michael Derose, COTA/L is an Occupational Therapy Assistant in Newport Beach, California. Practices as a sole proprietor and works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2020
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

1200 Quail St Ste 100
Newport Beach, CA 92660-2706
Phone: (949) 475-1002
Show map & directions

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

Additional practice locations (1)

  • 17 Riptide Ct, Newport Beach, CA 92663-2105 — (818) 414-5593

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 5078 (CA)

Record details

NPI number1417581646
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedFebruary 26, 2020
Last updated in NPPESFebruary 26, 2020
Certification dateFebruary 26, 2020

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