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

Individual provider Occupational Therapy Assistant · NPI 1285075937

Nikolay Nisimov, COTA is an Occupational Therapy Assistant in Long Beach, California. Practices as a sole proprietor. Registered with an NPI since 2013.

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

330 Golden Shr
Long Beach, CA 90802-4246
Phone: (866) 985-5008
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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

Record details

NPI number1285075937
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorYes
NPI enumeratedJuly 10, 2013
Last updated in NPPESJuly 10, 2013

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