Jean K Kotal, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2888 Issued in CA

Practice address

2315 Stockton Blvd
Sacramento, CA 95817-2201

Phone

(916) 734-3193

Fax

(916) 454-2703

NPI assigned

Dec 14, 2005

Last updated

Apr 16, 2012By the provider in NPPES

Sex

Female

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)

Enrolled

State licenses

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

{
    "created_epoch": "1134518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1334534400000",
    "number": "1154306892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3086 YELLOWSTONE LN",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958212360",
            "telephone_number": "916-485-3774"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 STOCKTON BLVD",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958172201",
            "telephone_number": "916-734-3193",
            "fax_number": "916-454-2703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOTAL",
        "first_name": "JEAN",
        "middle_name": "K",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-14",
        "last_updated": "2012-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT2888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gerald Kost, M.D., PH.D.
• Tyler Kristine Koster, MSW, ASW
• Quiana Kostiuk-Thompson
• Jane E Kostka, LCSW
• Vitaliy Viktor Kostyukevich, PA-C
• Christine Kotcher
• Lydia Kotey, RN
• Sadhana Samir Kothari, DDS
• Arjun Chaman Kotwal, DO
• Britney Kotz, RN

• Occupational Therapist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; 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.