Janessa Mazon, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA 13005 Issued in FL

Practice address

17997 SW 30TH St
Miramar, FL 33029-5508

Phone

(954) 243-5828

NPI assigned

Mar 24, 2014

Last updated

Feb 23, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1395619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1456185600000",
    "number": "1033536446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4265 SW 152ND AVE",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330273354",
            "telephone_number": "954-243-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17997 SW 30TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330295508",
            "telephone_number": "954-243-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAZON",
        "first_name": "JANESSA",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-03-24",
        "last_updated": "2016-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA 13005",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dean L Maynard, MD
• Alceha Dorotta Mayne Thomas, ARNP
• Cristobal Clinio Mayola Alberto
• Yasmany Cristobal Mayola Garcia
• Jennifer Mayor
• Chinwe A Mba, APRN
• Paulinus Mba, RPH
• MBS Counseling & Family Center, LLC (None)
• Tanisha Q McCall
• Andre Lloyd McCalla

• Occupational Therapy Assistant in Miramar, FL
• Providers in Miramar, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.