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

Individual provider Occupational Therapy Assistant · NPI 1679291322

Mrs. Judith Susan Mystkowski, COTA is an Occupational Therapy Assistant in Port Jefferson Station, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2022
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

290 Norwood Ave
Port Jefferson Station, NY 11776-2562
Phone: (631) 474-8130
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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 008322-01 (NY)

Record details

NPI number1679291322
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedAugust 18, 2022
Last updated in NPPESAugust 18, 2022
Certification dateAugust 18, 2022

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