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

Individual provider Occupational Therapy Assistant · NPI 1003569815

Tyler Christian Mogensen, COTA is an Occupational Therapy Assistant in Appleton, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2022.

Licensed in
WI
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

325 E Florida Ave
Appleton, WI 54911-1325
Phone: (920) 731-7310
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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 5652 (WI)

Record details

NPI number1003569815
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedFebruary 1, 2022
Last updated in NPPESFebruary 1, 2022
Certification dateFebruary 1, 2022

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