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

Mr. Jeffery George Riddle, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1861785198

Mr. Jeffery George Riddle, COTA/L is an Occupational Therapy Assistant in Winston Salem, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2011
Specialties on file
3
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

245 N Gordon Dr
Winston Salem, NC 27104-2822
Phone: (336) 529-6835
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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 0999 (NC)
Home Health Agency Taxonomy 251E00000X · Licence 0999 (NC)
Comprehensive Outpatient Rehabilitation Facility (CORF) Taxonomy 261QR0401X · Licence 0999 (NC)

Record details

NPI number1861785198
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedMay 19, 2011
Last updated in NPPESMay 19, 2011

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