Jordan Samantha Wetter, COTA/L

Primary specialty

Driving and Community Mobility Occupational Therapy AssistantTaxonomy code 224ZR0403X

Practice address

1191 Commerce Park Dr
Altamonte Springs, FL 32714-2035

Phone

(140) 795-1893

NPI assigned

May 15, 2021

Last updated

May 15, 2021By the provider in NPPES

Sex

Female

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

Practice roles

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

• The Neuro Hub, LLC.

  • Neurorehabilitation Occupational Therapist
  • Altamonte Springs, FL
  • NPI 1831635366
  NPD (past)

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

{
    "created_epoch": "1621036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621036800000",
    "number": "1366016206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1191 COMMERCE PARK DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142035",
            "telephone_number": "140-795-1893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1191 COMMERCE PARK DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142035",
            "telephone_number": "140-795-1893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETTER",
        "first_name": "JORDAN",
        "middle_name": "SAMANTHA",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-15",
        "last_updated": "2021-05-15",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZR0403X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Driving and Community Mobility",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• West Altamonte Facility Operations, LLC (Living Center at West Altamonte)
• West Altamonte Nursing and Rehabilitation Center by Harborview LLC
• West Altamonte Opco, LLC (West Altamonte Nursing & Rehabilitation Center)
• West Volusia Surgical, PA
• Domonic Lane Westergaard, APRN, MSN, PPCNP-BC
• Sydney Wetterstrom
• Ross C. Wheeler, M.D.
• Winifred G Whidden, ARNP
• Whiplashmd, LLC
• Cynthia Frances Whitbeck

• Occupational Therapy Assistant in Altamonte Springs, FL
• Providers in Altamonte Springs, 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 May 15, 2021; 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.