Jessica Combs, COTA

Primary specialty

Environmental Modification Occupational Therapy AssistantTaxonomy code 224ZE0001X

License

0131000094

Practice address

1900 Hillsmere LN
Staunton, VA 24401-1796

Phone

(540) 851-0210

NPI assigned

Apr 20, 2019

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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1555718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555718400000",
    "number": "1417510876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 HILLSMERE LN",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244011796"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 HILLSMERE LN",
            "city": "STAUNTON",
            "state": "VA",
            "postal_code": "244011796",
            "telephone_number": "540-851-0210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMBS",
        "first_name": "JESSICA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-04-20",
        "last_updated": "2019-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224ZE0001X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant, Environmental Modification",
            "state": null,
            "license": "0131000094",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0131000094",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VA BOARD OF MEDICINE",
            "identifier": "0131000094",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard L. M. Coleman, M.D.
• Carrie Collins, PHARMD
• Jose Francisco Colon, EDD, LPC, NCC, CSAT
• Lisa Columbo, LCSW
• Jennifer Colvin, COTA/L
• Michele Comer
• Commonwealth Center for Children and Adolescents
• Commonwealth of Virginia State Board of Health
• Commonwealth of Virginia State Board of Health
• Commonwealth of Virginia Western State Hospital

• All providers in Staunton, VA
• Environmental Modification Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2019; 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.