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

Mr. Dalton James Gore, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1134942600

Mr. Dalton James Gore, COTA/L is an Occupational Therapy Assistant in Johnson City, Tennessee. Registered with an NPI since 2024.

In the registry since
2024
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

2214 E Fairview Ave
Johnson City, TN 37601-2860
Phone: (423) 928-6464
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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

Record details

NPI number1134942600
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedNovember 4, 2024
Last updated in NPPESNovember 4, 2024
Certification dateNovember 4, 2024

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