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

MS. Ivy Joan Medow, COTA/L, CRC

Individual provider Counselor · NPI 1972881266

MS. Ivy Joan Medow, COTA/L, CRC is a Counselor in Florence, Oregon. Licensed in Oregon. Registered with an NPI since 2011.

Licensed in
OR
In the registry since
2011
Specialties on file
2
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

1657 36th St
Florence, OR 97439-8922
Phone: (480) 837-4565
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence C-6670 (OR)
Massage Therapist Taxonomy 225700000X · Licence 25705 (OR)

Record details

NPI number1972881266
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L , CRC
Sole proprietorNo
NPI enumeratedAugust 3, 2011
Last updated in NPPESOctober 16, 2025
Certification dateOctober 16, 2025

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