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

Individual provider Occupational Therapy Assistant · NPI 1942941000

Phyllis Lynne Pendergrast, COTA is an Occupational Therapy Assistant in Fort Collins, Colorado. Licensed in Colorado. Registered with an NPI since 2022.

Licensed in
CO
In the registry since
2022
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

2201 S Lemay Ave
Fort Collins, CO 80525-1900
Phone: (888) 966-9435
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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 OTA.0001071 (CO)

Record details

NPI number1942941000
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedApril 5, 2022
Last updated in NPPESApril 5, 2022
Certification dateApril 4, 2022

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