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

Tisha Nicole Radich, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1336976455

Tisha Nicole Radich, COTA/L is an Occupational Therapy Assistant in Gulfport, Mississippi. Practices as a sole proprietor and works from 2 locations. Licensed in Mississippi.

Licensed in
MS
In the registry since
2024
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

1530 Broad Ave
Gulfport, MS 39501-3601
Phone: (228) 864-6544
Show map & directions

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

Additional practice locations (1)

  • 101 E State St, Kennett Square, PA 19348-3109 — (610) 925-2086

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 3549 (MS)

Record details

NPI number1336976455
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedSeptember 14, 2024
Last updated in NPPESSeptember 14, 2024
Certification dateSeptember 14, 2024

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