Jamie Ann Coburn Van Horn, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT-003999 Issued in OH

Practice address

1550 Old Henderson Rd Ste S-204
Columbus, OH 43220-3626

Phone

(614) 824-2633

Fax

(614) 467-3841

NPI assigned

Nov 1, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Addresses

Other names 1

• Jamie Ann Coburn Lewis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1609113600000",
    "number": "1013094572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 OLD HENDERSON RD STE S-204",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203626",
            "telephone_number": "614-824-2633",
            "fax_number": "614-726-2399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 OLD HENDERSON RD STE S-204",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432203626",
            "telephone_number": "614-824-2633",
            "fax_number": "614-467-3841"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1797 Hill Rd N Ste 101",
            "address_purpose": "LOCATION",
            "city": "Pickerington",
            "state": "OH",
            "postal_code": "431477997",
            "country_code": "US",
            "telephone_number": "614-494-0140",
            "fax_number": "614-494-0141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COBURN VAN HORN",
        "first_name": "JAMIE",
        "middle_name": "ANN",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2020-12-28",
        "certification_date": "2020-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "KY",
            "license": "OTR1641",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT03999",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT-003999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "COBURN LEWIS",
            "middle_name": "ANN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Coblentz, CRNA
• Michael R Cobler, M.D.
• Sergio Steven Cobos, MD
• Amanda Lee Cobourn, LMT
• Pete Cobra Cobraiti, REGISTERED NURSE
• Connie L Coburn, CNP
• Gregory Lynn Coburn, OD
• Emil F Coccaro, MD
• Maria R Coccia, MD
• Amy Cochran, R.N.

• Occupational Therapist in Columbus, OH
• Providers in Columbus, OH by specialty
• Occupational Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.