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

Individual provider Occupational Therapy Assistant · NPI 1164079331

Mr. Randy Roy Smith, COTA/L is an Occupational Therapy Assistant in Lauderdale Lakes, Florida. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2019
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

3100 NW 39th St
Lauderdale Lakes, FL 33309-4918
Phone: (954) 513-8184
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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 A02807 (MD)

Record details

NPI number1164079331
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedAugust 22, 2019
Last updated in NPPESAugust 22, 2019
Mailing address3100 Nw 39th St, Lauderdale Lakes, FL 33309-4918

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