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

Mrs. Kylie Suzanne Carlson, COTA, ATC

Individual provider Occupational Therapy Assistant · NPI 1104183789

Mrs. Kylie Suzanne Carlson, COTA, ATC is an Occupational Therapy Assistant in Phoenix, Arizona. Licensed in Arizona. Registered with an NPI since 2012.

Licensed in
AZ
In the registry since
2012
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

7500 N Dreamy Draw Dr Ste 120
Phoenix, AZ 85020-4641
Phone: (703) 362-8246
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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 7308 (AZ)

Record details

NPI number1104183789
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA , ATC
Sole proprietorNo
NPI enumeratedApril 19, 2012
Last updated in NPPESSeptember 26, 2025
Certification dateSeptember 26, 2025

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