EDWIN GULTOM COTA
NPI 1316256084
Occupational Therapy Assistant in Victorville, CA

Active since September 29, 2010
16890 GREEN TREE BLVD, VICTORVILLE, CA 92395(760) 245-5361 Get Directions Write a Review

NPPES record last updated: September 29, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Edwin Gultom Cota NPPES

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

EDWIN GULTOM COTA (NPI 1316256084) is an individual occupational therapy assistant in Victorville, California, licensed in California (2010) and active in the NPI registry since September 2010.

NPPES Registry Identity

NPI1316256084
Entity TypeIndividualMale
Primary Taxonomy224Z00000X
Provider Legal NameEDWIN GULTOMCredential: COTA
Location Address16890 GREEN TREE BLVDVictorville, CA 92395-5618
Mailing Address906 Kensington DrRedlands, CA 92374-4927 · (909) 255-1223
Sole ProprietorNo
Enumeration DateSeptember 29, 2010
NPI 1316256084 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 CA · 2010
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.
16890 GREEN TREE BLVD, Victorville, CA 92395

Other Providers at the Same Location NPPES 3

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

Skilled Nursing Facility
16890 GREEN TREE BLVD
VICTORVILLE, CA 92395
Assisted Living Facility
16890 GREEN TREE BLVD
VICTORVILLE, CA 92395
Skilled Nursing Facility
16890 GREEN TREE BLVD
VICTORVILLE, CA 92395

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 Edwin Gultom's NPI number?

The NPI number for Edwin Gultom is 1316256084. It was assigned to this individual provider in the NPPES registry on September 29, 2010.

Where is Edwin Gultom located?

Edwin Gultom practices at 16890 Green Tree Blvd, Victorville, CA 92395. The listed phone number is (760) 245-5361.

What is Edwin Gultom'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 Edwin Gultom was last updated on September 29, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.