MR. ANDREW MELBON GULTOM COTA
NPI 1518159409
Occupational Therapy Assistant in Banning, CA

Active since August 14, 2007
1065 DRIFTWOOD CIR, BANNING, CA 92220(909) 856-6625(877) 799-9128 Get Directions Write a Review

NPPES record last updated: August 14, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mr. Andrew Melbon Gultom Cota NPPES

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

MR. ANDREW MELBON GULTOM COTA (NPI 1518159409) is an individual occupational therapy assistant in Banning, California, licensed in California (1013) and active in the NPI registry since August 2007.

NPPES Registry Identity

NPI1518159409
Entity TypeIndividualMale
Primary Taxonomy224Z00000X
Provider Legal NameMR. ANDREW MELBON GULTOMCredential: COTA
Location Address1065 DRIFTWOOD CIRBanning, CA 92220-6321
Mailing Address1065 Driftwood CirBanning, CA 92220-6321 · (909) 856-6625 · Fax (877) 799-9128
Fax(877) 799-9128
Sole ProprietorYes
Enumeration DateAugust 14, 2007
NPI 1518159409 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 · 1013
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.
1065 DRIFTWOOD CIR, Banning, CA 92220

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 Andrew Gultom's NPI number?

The NPI number for Andrew Gultom is 1518159409. It was assigned to this individual provider in the NPPES registry on August 14, 2007.

Where is Andrew Gultom located?

Andrew Gultom practices at 1065 Driftwood Cir, Banning, CA 92220. The listed phone number is (909) 856-6625.

What is Andrew 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 Andrew Gultom was last updated on August 14, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.