CRYSTAL DOMINIQUE RANDOLPH COTA/L
NPI 1265156426
Occupational Therapy Assistant in Mooresville, NC

Active since September 30, 2022
134 INFIELD CT, MOORESVILLE, NC 28117(704) 799-6824(704) 799-6825 Get Directions Write a Review

NPPES record last updated: April 16, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Apr 16, 2024, Sep 30, 2022 (2 updates tracked since 2022).

About Crystal Dominique Randolph Cota/l NPPES

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

CRYSTAL DOMINIQUE RANDOLPH COTA/L (NPI 1265156426) is an individual occupational therapy assistant in Mooresville, North Carolina, licensed in North Carolina (11941) and active in the NPI registry since September 2022. She maintains a secondary practice location in Louisville.

NPPES Registry Identity

NPI1265156426
Entity TypeIndividualFemale
Primary Taxonomy224Z00000X
Provider Legal NameCRYSTAL DOMINIQUE RANDOLPHCredential: COTA/L
Location Address134 INFIELD CTMooresville, NC 28117-8026
Mailing Address134 Infield CtMooresville, NC 28117-8026
Fax(704) 799-6825
Sole ProprietorNo
Enumeration DateSeptember 30, 2022
Last NPPES UpdateApril 16, 20242 updates tracked since enumeration
NPPES CertifiedApril 16, 2024
NPI 1265156426 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 NC · 11941
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.
134 INFIELD CT, Mooresville, NC 28117

Secondary Practice Location 1

Location 12701 Chestnut Station CtLouisville, KY 40299-6395 · Phone (800) 335-1060

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
134 INFIELD CT
MOORESVILLE, NC 28117
Occupational Therapist
134 INFIELD CT
MOORESVILLE, NC 28117
Occupational Therapy Assistant
134 INFIELD CT
MOORESVILLE, NC 28117
Occupational Therapist
134 INFIELD CT
MOORESVILLE, NC 28117
Psychologist
134 INFIELD CT
MOORESVILLE, NC 28117
Physical Therapist
134 INFIELD CT
MOORESVILLE, NC 28117
Behavior Analyst
134 INFIELD CT
MOORESVILLE, NC 28117
Speech-Language Pathologist
134 INFIELD CT
MOORESVILLE, NC 28117

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 Crystal Randolph's NPI number?

The NPI number for Crystal Randolph is 1265156426. It was assigned to this individual provider in the NPPES registry on September 30, 2022.

Where is Crystal Randolph located?

Crystal Randolph practices at 134 Infield Ct, Mooresville, NC 28117. The listed phone number is (704) 799-6824.

What is Crystal Randolph'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 Crystal Randolph was last updated on April 16, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.