Jillann Berns, COTA/L

Key facts

NPI

1124950563

Entity type

Individual (NPI type 1)

Primary specialty

Occupational Therapy Assistant 224Z00000X

License

OTA007601 (OH)

Practice address

10600 Peck Rd
Mantua, OH 44255-9505

Phone

(330) 221-7634

NPI assigned

Jun 1, 2026

Sex

Female

Sole proprietor

No

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

No

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jun 1, 2026.

{
    "created_epoch": "1780272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1124950563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10600 PECK RD",
            "city": "MANTUA",
            "state": "OH",
            "postal_code": "442559505",
            "telephone_number": "330-221-7634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10600 PECK RD",
            "city": "MANTUA",
            "state": "OH",
            "postal_code": "442559505",
            "telephone_number": "330-221-7634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERNS",
        "first_name": "JILLANN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-06-01",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA007601",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mantua, OH

• Kathleen Marie Bailey, RN
• Logan Jamison Bailey, PT, DPT
• Caitlin Barney Fritsch
• Hannah Bell
• Edie Knowlton Benner, PHD.
• Tyler Best
• Deborah Y Bichsel
• Marissa Lilliana Biclawski
• Rachel Bollheimer
• Pamela Sue Braden, M.A.

All providers in Mantua, OH · Occupational Therapy Assistant in Ohio