Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 30 days.

MADILYN GRACE LACK COTA/L
NPI 1134041148
Occupational Therapy Assistant in Gatewood, MO

Active since July 29, 2026
11111 STATE HIGHWAY 142W, GATEWOOD, MO 63942(573) 255-3213 Get Directions Write a Review

NPPES record added: July 29, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madilyn Grace Lack Cota/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MADILYN GRACE LACK COTA/L (NPI 1134041148) is an individual occupational therapy assistant in Gatewood, Missouri, licensed in Missouri (2026029031) and active in the NPI registry since July 2026.

NPPES Registry Identity

NPI1134041148
Entity TypeIndividualFemale
Primary Taxonomy224Z00000X
Provider Legal NameMADILYN GRACE LACKCredential: COTA/L
Location Address11111 STATE HIGHWAY 142WGatewood, MO 63942-7619
Mailing Address109 Muskrat LnDoniphan, MO 63935-6502
Sole ProprietorYes
Enumeration DateJuly 29, 2026
NPPES CertifiedJuly 29, 2026
NPI 1134041148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Z00000X
License Licensed in MO · 2026029031
Definition
An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
11111 STATE HIGHWAY 142W, Gatewood, MO 63942

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Madilyn Lack's NPI number?

The NPI number for Madilyn Lack is 1134041148. It was assigned to this individual provider in the NPPES registry on July 29, 2026.

Where is Madilyn Lack located?

Madilyn Lack practices at 11111 State Highway 142W, Gatewood, MO 63942. The listed phone number is (573) 255-3213.

What is Madilyn Lack's specialty?

The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.

When was this NPI record last updated?

The NPPES record for Madilyn Lack was last updated on July 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.