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

Individual provider Occupational Therapy Assistant · NPI 1477000479

Shelley Peasley, COTA is an Occupational Therapy Assistant in Mastic Beach, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2016
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

214 Church Dr
Mastic Beach, NY 11951-1207
Phone: (631) 965-8688
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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 009041-1 (NY)

Record details

NPI number1477000479
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorYes
NPI enumeratedSeptember 7, 2016
Last updated in NPPESSeptember 7, 2016

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