Active NPI
Jon Lee Dryden, COTA
- Occupational Therapy Assistant
- Milford, OH
National Provider Identifier
1275730772
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA-02704
- Practice address
- 5900 Meadow Creek Dr
Milford, OH 45150-5641 - Phone
- (513) 248-1655
- NPI assigned
- Jun 28, 2007
- Sex
- Male
- 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 | OTA-02704 | OH | Primary |
Addresses
Primary practice location
5900 Meadow Creek Dr
Milford, OH 45150-5641
Mailing address
2971 Babbling Brook Way
Burlington, KY 41005-8835
Phone (859) 586-4746
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0616533 | Medicaid | OH |
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 |
|---|---|---|---|
| OTA-02704 | OH | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182988800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1275730772",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2971 BABBLING BROOK WAY",
"city": "BURLINGTON",
"state": "KY",
"postal_code": "410058835",
"telephone_number": "859-586-4746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 MEADOW CREEK DR",
"city": "MILFORD",
"state": "OH",
"postal_code": "451505641",
"telephone_number": "513-248-1655"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DRYDEN",
"first_name": "JON",
"middle_name": "LEE",
"name_prefix": "Mr.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-06-28",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "OH",
"license": "OTA-02704",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0616533",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Milford, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.