Individual provider Active NPI

Jonathan Lee Cohen, MOT, OTR/L, SIPT

  • Occupational Therapist
  • Dallas, TX
National Provider Identifier
1255444923
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
112946 Issued in TX
Practice address
12222 N Central Expy
Suite 115
Dallas, TX 75243-3720
Phone
(972) 546-0411
Fax
(972) 559-1867
NPI assigned
Aug 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X 0006886 FL
Occupational Therapist 225X00000X 112946 TX Primary

Addresses

Primary practice location

12222 N Central Expy
Suite 115
Dallas, TX 75243-3720

Mailing address

2708 Black Sage Dr
Plano, TX 75093-3365
Phone (561) 767-0082

Other identifiers 1

IdentifierTypeStateIssuer
884440200MedicaidFL

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

LicenseStateTypeSpecialty
112946TXMDOccupational Therapist
0006886FLMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Energy Rehab Services Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1255444923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 BLACK SAGE DR",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933365",
            "telephone_number": "561-767-0082",
            "fax_number": "972-559-1867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 N CENTRAL EXPY",
            "address_2": "SUITE 115",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752433720",
            "telephone_number": "972-546-0411",
            "fax_number": "972-559-1867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JONATHAN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "MOT, OTR/L, SIPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "0006886",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "112946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "884440200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.