Jessica Fink, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

168760

Practice address

361 Windburn Lane
Grayson, KY 41143

Phone

(740) 208-6658

NPI assigned

Aug 31, 2023

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1174309686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "361 WINDBURN LANE",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "41143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "361 WINDBURN LANE",
            "city": "GRAYSON",
            "state": "KY",
            "postal_code": "41143",
            "telephone_number": "740-208-6658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FINK",
        "first_name": "JESSICA",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": "168760",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger D. Fannin, O.D.
• Thomas Felty, TCADC - PSS
• Megan Fennell
• Amber Fetters
• Diedra Fields
• John Dolf Fischer, D.C.
• Katherine Fossett
• John H France II, ATC
• Corey Dean Frasier, APRN
• April Dawn Frazier, LPCC

• All providers in Grayson, KY
• Occupational Therapy Assistant in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; 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.