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

Tracy Lane, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1235714924

Tracy Lane, COTA/L is an Occupational Therapy Assistant in Centralia, Illinois. Licensed in Illinois. Registered with an NPI since 2021.

Licensed in
IL
In the registry since
2021
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

1910 E McCord St
Centralia, IL 62801-6586
Phone: (618) 533-1200
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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 057.003623 (IL)

Record details

NPI number1235714924
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedMarch 14, 2021
Last updated in NPPESMarch 14, 2021
Certification dateMarch 14, 2021

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