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

Individual provider Occupational Therapy Assistant · NPI 1093028318

Mr. Kendall Dewayne Johnson, COTA is an Occupational Therapy Assistant in Venice, Florida. Licensed in Florida. Registered with an NPI since 2010.

Licensed in
FL
In the registry since
2010
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

744 The Rialto
Venice, FL 34285-3524
Phone: (941) 484-5500
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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 OTA10519 (FL)

Record details

NPI number1093028318
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedJuly 15, 2010
Last updated in NPPESJuly 15, 2010

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