Warren Horace Jordon, COTA/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0131002345 Issued in VA

Practice address

146 Maxton LN
Williamsburg, VA 23188-7025

Phone

(949) 294-7561

NPI assigned

Jan 26, 2021

Sex

Male

Sole proprietor

Yes

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": "1611619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611619200000",
    "number": "1376133116",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 642",
            "city": "NORGE",
            "state": "VA",
            "postal_code": "231270642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 MAXTON LN",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231887025",
            "telephone_number": "949-294-7561"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDON",
        "first_name": "WARREN",
        "middle_name": "HORACE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-01-26",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0131002345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joosse Family Orthodontics LLC
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• Jacqueline B Jordan, CCC-SLP
• Kalisha Jordan, DDS
• Kendall Jordan
• Jose a. Erfe, M.D.
• Manju Treesa Jose
• Joseph Brown III, MD
• Joseph W Elrod Jr DDS LTD
• Shweta Nagendra Joshi, MD

• Occupational Therapist in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Occupational Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.