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

Individual provider Occupational Therapy Assistant · NPI 1164244810

Phaedra Triton, COTA is an Occupational Therapy Assistant in Jacksonville, Florida. Practices as a sole proprietor. Registered with an NPI since 2024.

In the registry since
2024
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

2103 Gilmore St
Jacksonville, FL 32204
Phone: (904) 906-3878
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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 number1164244810
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedOctober 24, 2024
Last updated in NPPESOctober 28, 2024
Certification dateOctober 28, 2024
Mailing address2509 North Waterleaf Drive, St. Augustine, FL 32092

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