Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Kimmichael Bolognini, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1871108340

Mr. Kimmichael Bolognini, COTA/L is an Occupational Therapy Assistant in Melbourne, Florida. Practices as a sole proprietor. Licensed in Florida.

Licensed in
FL
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

2793 Kingsmill Ave
Melbourne, FL 32934-7582
Phone: (321) 626-3699
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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 16941 (FL)

Record details

NPI number1871108340
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedSeptember 11, 2020
Last updated in NPPESSeptember 11, 2020
Certification dateSeptember 11, 2020

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