Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Ryan Theobald, COTA

Individual provider Occupational Therapy Assistant · NPI 1437061058

Ryan Theobald, COTA is an Occupational Therapy Assistant in Los Angeles, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2026
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

3977 Beverly Blvd Apt 118
Los Angeles, CA 90004-3999
Phone: (440) 591-3954
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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 6982 (CA)

Record details

NPI number1437061058
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorYes
NPI enumeratedSeptember 18, 2026
Last updated in NPPESSeptember 18, 2026
Certification dateSeptember 18, 2026

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