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

Individual provider Occupational Therapy Assistant · NPI 1689013955

Mr. Shane Prater, COTA is an Occupational Therapy Assistant in LA Follette, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2013
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

136 Davis Ln
LA Follette, TN 37766-3118
Phone: (423) 562-4760
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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 2132 (TN)

Record details

NPI number1689013955
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorYes
NPI enumeratedJune 20, 2013
Last updated in NPPESJune 20, 2013
Mailing address136 Davis Ln, La Follette, TN 37766-3118

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