Dajaye J Jenkins, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA18952 Issued in FL

Practice address

1705 17TH Ave
Vero Beach, FL 32960-3641

Phone

(775) 562-6877

NPI assigned

Jun 27, 2023

Last updated

Jun 27, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

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

State licenses

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

{
    "created_epoch": "1687824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1326724840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 KASLO CIR NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329078076",
            "telephone_number": "352-209-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 17TH AVE",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329603641",
            "telephone_number": "775-562-6877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JENKINS",
        "first_name": "DAJAYE",
        "middle_name": "J",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-06-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA18952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• JDM Enterprises of Vero Beach,LLC
• Reginald Jean Gilles, RPH
• Jeanne M Albert Arnp, PA
• Jeffrey Mark Grossman M.D., P.a.
• Jenee Ware, DMD LLC
• Deanna Jenkins
• James Taylor Jenkins, RPH
• Katalin Jenkins
• Bretton Perez Jenks, M.A., CCC/SLP
• Ashley Marie Jennings, MA, CCC-SLP

• Occupational Therapy Assistant in Vero Beach, FL
• Providers in Vero Beach, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.