Andrew Gultom, COTA
NPI 1518159409 · Occupational Therapy Assistant · Banning, CA
Andrew Gultom, COTA is a Occupational Therapy Assistant provider in Banning, CA (NPI 1518159409).
Provider details
- NPI number
- 1518159409
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1013 (CA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-08-14
- Last updated
- 2007-08-14
Frequently asked questions
- What is Andrew Gultom's NPI number?
- Andrew Gultom's National Provider Identifier (NPI) is 1518159409, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Andrew Gultom's specialty?
- Andrew Gultom is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Andrew Gultom located?
- Andrew Gultom's practice location on file with NPPES is 1065 Driftwood Cir, Banning, CA 92220-6321.
- What is Andrew Gultom's phone number?
- The practice phone number listed in the NPPES registry for Andrew Gultom is (909) 856-6625.
- Is Andrew Gultom's NPI active?
- Yes — Andrew Gultom's NPI (1518159409) is active in the NPPES registry as of the last update on 2007-08-14.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.