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

Individual provider Occupational Therapy Assistant · NPI 1003047812

Mr. Andy Joe Gillum, COTA is an Occupational Therapy Assistant in Portsmouth, Ohio. Practices as a sole proprietor. Licensed in Ohio.

Licensed in
OH
In the registry since
2009
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

2125 Royce St
Portsmouth, OH 45662-4714
Phone: (740) 876-9232
Fax: (740) 876-9525
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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 OTA . 04143 (OH)

Record details

NPI number1003047812
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorYes
NPI enumeratedJuly 29, 2009
Last updated in NPPESJuly 29, 2009

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