Adam S Jacobs, COTA

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTA04217 Issued in OH

Practice address

1033 Gallia St
Portsmouth, OH 45662-4140

Phone

(740) 354-5001

Fax

(740) 354-5011

NPI assigned

Sep 8, 2009

Last updated

Sep 8, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Premier Therapy & Health Centers, Inc.

  • Rehabilitation Clinic/Center
  • Portsmouth, OH
  • NPI 1073690509
  NPD (past)
• Premier Therapy & Health Centers, Inc.

  • Rehabilitation Clinic/Center
  • Ashland, KY
  • NPI 1073779377
  NPD (past)

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

{
    "created_epoch": "1252368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252368000000",
    "number": "1063745115",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1240",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051240",
            "telephone_number": "606-325-7955",
            "fax_number": "606-325-9848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1033 GALLIA ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624140",
            "telephone_number": "740-354-5001",
            "fax_number": "740-354-5011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS",
        "first_name": "ADAM",
        "middle_name": "S",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-09-08",
        "last_updated": "2009-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OTA04217",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sheridan Ison, LPN
• Crystal Jacks
• Amber Nicole Jackson
• Morgan Jackson, RN, CDCA
• Richard Jackson
• Norman M Jacobs, MD
• Bryant Christopher Jamison
• Dara Jamison
• Keith Jamison
• Michael Jamison

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2009; 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.