Active NPI
Elizabeth Anne Jones, COTA
- Feeding, Eating & Swallowing Occupational Therapy Assistant
- Palatka, FL
National Provider Identifier
1164034153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Feeding, Eating & Swallowing Occupational Therapy Assistant
- License
- 0009323
- Practice address
- 110 Kay Larkin Dr
Palatka, FL 32177-2300 - Phone
- (386) 325-0173
- NPI assigned
- Aug 20, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Feeding, Eating & Swallowing Occupational Therapy Assistant | 224ZF0002X | 0009323 | FL | Primary |
Addresses
Primary practice location
110 Kay Larkin Dr
Palatka, FL 32177-2300
Mailing address
7 Whittle PL
Palm Coast, FL 32164-7203
Phone (386) 316-4914
Other practice location 1
33 Lupi Court
Palm Coast, FL 32137
Phone (386) 447-0011
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0009323 | FL | MD | Feeding, Eating & Swallowing Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597881600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597881600000",
"number": "1164034153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 WHITTLE PL",
"city": "PALM COAST",
"state": "FL",
"postal_code": "321647203",
"telephone_number": "386-316-4914"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 KAY LARKIN DR",
"city": "PALATKA",
"state": "FL",
"postal_code": "321772300",
"telephone_number": "386-325-0173"
}
],
"practiceLocations": [
{
"address_1": "33 Lupi Court",
"address_purpose": "LOCATION",
"city": "Palm Coast",
"state": "FL",
"postal_code": "32137",
"country_code": "US",
"telephone_number": "386-447-0011",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-08-20",
"last_updated": "2020-08-20",
"certification_date": "2020-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "224ZF0002X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant, Feeding, Eating & Swallowing",
"state": "FL",
"license": "0009323",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palatka, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.