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

Individual provider Occupational Therapy Assistant · NPI 1770362907

Xiao Tan, COTA is an Occupational Therapy Assistant in Elmhurst, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2023
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

5205 94th St
Elmhurst, NY 11373-4609
Phone: (929) 888-2691
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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 011370 (NY)

Record details

NPI number1770362907
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorYes
NPI enumeratedSeptember 26, 2023
Last updated in NPPESSeptember 26, 2023
Certification dateSeptember 26, 2023

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