Jesus Tamayo, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA18472 Issued in FL

Practice address

12276 San Jose Blvd Ste 508
Jacksonville, FL 32223-8618

Phone

(904) 886-3228

Fax

(904) 485-8876

NPI assigned

Aug 12, 2021

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

Practice roles

Locations

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

• Penya Bilingual Speech & Language Therapy Inc.

  • Speech-Language Pathologist
  • Jacksonville, FL
  • NPI 1982110201
  NPD

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691107200000",
    "number": "1487329280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5600 SPRING PARK RD STE 102",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322165989",
            "telephone_number": "904-694-2800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12276 SAN JOSE BLVD STE 508",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322238618",
            "telephone_number": "904-886-3228",
            "fax_number": "904-485-8876"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5600 Spring Park Rd Ste 102",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322165989",
            "country_code": "US",
            "telephone_number": "904-694-2800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAMAYO",
        "first_name": "JESUS",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-12",
        "last_updated": "2023-08-04",
        "certification_date": "2023-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA18472",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Vance Tam, RPH
• Tama Support Services Inc.
• Mernamie Castardo Taman, ARNP/NURSE PRACTITIO
• Robi E Tamargo, PSYD
• Christine Alexis Tamayo, MD
• Tambolina Adult Day Care
• Tambolina Adult Day Care Center
• Tambolina Services Community Resident Home, Inc
• Tambolina Services, Inc
• Lynne Tamplin, PT

• Occupational Therapy Assistant in Jacksonville, FL
• Providers in Jacksonville, 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 Aug 4, 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.