Individual provider Active NPI

Jadzia Cooper Echenique

  • Occupational Therapist
  • Estero, FL
National Provider Identifier
1093381758
Registry record updated Apr 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
26015 Issued in FL
Practice address
9470 Corkscrew Palms Cir Ste 104
Estero, FL 33928-3305
Phone
(239) 400-1705
NPI assigned
Jun 2, 2021
Last updated
Apr 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 26015 FL Primary
Behavior Technician 106S00000X RBT-21-169933 CA

Addresses

Primary practice location

9470 Corkscrew Palms Cir Ste 104
Estero, FL 33928-3305

Mailing address

418 Pinafore Ave
Lehigh Acres, FL 33974-2407

Other practice location 1

3355 Mission Ave Ste 221
Oceanside, CA 92058-1328
Phone (951) 813-4034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
RBT-21-169933CAMDBehavior Technician
26015FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1622592000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745539200000",
    "number": "1093381758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "418 PINAFORE AVE",
            "city": "LEHIGH ACRES",
            "state": "FL",
            "postal_code": "339742407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9470 CORKSCREW PALMS CIR STE 104",
            "city": "ESTERO",
            "state": "FL",
            "postal_code": "339283305",
            "telephone_number": "239-400-1705"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3355 Mission Ave Ste 221",
            "address_purpose": "LOCATION",
            "city": "Oceanside",
            "state": "CA",
            "postal_code": "920581328",
            "country_code": "US",
            "telephone_number": "951-813-4034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ECHENIQUE",
        "first_name": "JADZIA",
        "middle_name": "COOPER",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-02",
        "last_updated": "2025-04-25",
        "certification_date": "2025-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "26015",
            "primary": true
        },
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "CA",
            "license": "RBT-21-169933",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Estero, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2025; 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.