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

Individual provider Occupational Therapy Assistant · NPI 1568844140

Shane Meyer, COTA is an Occupational Therapy Assistant in Fort Atkinson, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.

Licensed in
WI
In the registry since
2015
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

309 Park St Apt 1
Fort Atkinson, WI 53538-2167
Phone: (715) 220-1767
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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 5162-27 (WI)

Record details

NPI number1568844140
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorYes
NPI enumeratedJune 19, 2015
Last updated in NPPESJune 19, 2015
Mailing address309 Park St, Apartment 1, Fort Atkinson, WI 53538-2167

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