Active NPI
Jessica D Golias, COTA
- Occupational Therapy Assistant
- Lewisville, TX
National Provider Identifier
1245036912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 217758
- Practice address
- 966 N Garden Ridge Blvd
Lewisville, TX 75077-2827 - Phone
- (972) 420-6605
- NPI assigned
- Feb 21, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 217758 | TX | Primary |
Addresses
Primary practice location
966 N Garden Ridge Blvd
Lewisville, TX 75077-2827
Mailing address
3608 Cooper BR W
Denton, TX 76209-7918
Phone (940) 391-8092
Other practice location 1
5000 Long Prairie Rd Ste 100
Flower Mound, TX 75028-2797
Phone (972) 420-1776
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 |
|---|---|---|---|
| 217758 | TX | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740096000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740096000000",
"number": "1245036912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3608 COOPER BR W",
"city": "DENTON",
"state": "TX",
"postal_code": "762097918",
"telephone_number": "940-391-8092"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "966 N GARDEN RIDGE BLVD",
"city": "LEWISVILLE",
"state": "TX",
"postal_code": "750772827",
"telephone_number": "972-420-6605"
}
],
"practiceLocations": [
{
"address_1": "5000 Long Prairie Rd Ste 100",
"address_purpose": "LOCATION",
"city": "Flower Mound",
"state": "TX",
"postal_code": "750282797",
"country_code": "US",
"telephone_number": "972-420-1776",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GOLIAS",
"first_name": "JESSICA",
"middle_name": "D",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2025-02-21",
"last_updated": "2025-02-21",
"certification_date": "2025-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "217758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lewisville, TX
- Golden Age Parental Care LLC
- Golden Hour Counseling Collective
- Golden Triangle Anesthesia Services, PC (Joanne Lewis, CRNA)
- Renee Zariyah Golden, LPC ASSOCIATE
- Alexandra Jennifer Goldman, M.D.
- Antonio Victor Prudente Gonzalez, MD
- Christopher Gonzalez
- Kayla Marie Gonzalez, DPT
- Martin Gonzalez, DDS
- Goodcare24 LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.