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

Omar Medina, COTAL

Individual provider Occupational Therapy Assistant · NPI 1083336630

Omar Medina, COTAL is an Occupational Therapy Assistant in Colonial Heights, Virginia. Licensed in Virginia. Registered with an NPI since 2022.

Licensed in
VA
In the registry since
2022

Practice location Address checks out

235 Dunlop Farms Blvd
Colonial Heights, VA 23834-1792
Phone: (804) 937-4096
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 0131002-093 (VA)

Record details

NPI number1083336630
Entity typeIndividual (Type 1)
GenderMale
Credentials COTAL
Sole proprietorNo
NPI enumeratedSeptember 12, 2022
Last updated in NPPESSeptember 12, 2022
Certification dateSeptember 12, 2022