Jolie Lyn Sylvia, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2020042407 Issued in MO

Practice address

217 E Maple St
Emma, MO 65327

Phone

(518) 866-1116

NPI assigned

Dec 1, 2021

Sex

Female

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

• Jolie Lyn Beltran Former name

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 1, 2021.

{
    "created_epoch": "1638316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638316800000",
    "number": "1144988643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 E MAPLE ST",
            "city": "EMMA",
            "state": "MO",
            "postal_code": "65327",
            "telephone_number": "518-866-1116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 E MAPLE ST",
            "city": "EMMA",
            "state": "MO",
            "postal_code": "65327",
            "telephone_number": "518-866-1116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SYLVIA",
        "first_name": "JOLIE",
        "middle_name": "LYN",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-01",
        "last_updated": "2021-12-01",
        "certification_date": "2021-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2020042407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOLIE",
            "last_name": "BELTRAN",
            "middle_name": "LYN",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2021; 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.