Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Mr. Trey Nicholas Anderson, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1558247866

Mr. Trey Nicholas Anderson, COTA/L is an Occupational Therapy Assistant in San Antonio, Texas. Practices as a sole proprietor. Licensed in Arizona and Texas.

Licensed in
AZ, TX
In the registry since
2025
Specialties on file
2
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

9514 Console Dr Ste 102
San Antonio, TX 78229-2042
Phone: (210) 448-9111
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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 219185 (TX)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence OTA-050180 (AZ)

Record details

NPI number1558247866
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedAugust 12, 2025
Last updated in NPPESSeptember 1, 2026
Certification dateSeptember 1, 2026

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