Jordyn Harrison, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

0131002769 Issued in VA

Practice address

9642 Burke Lake Rd
Burke, VA 22015-3052

Phone

(703) 425-1698

NPI assigned

Nov 18, 2022

Sex

Female

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": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1508575580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10037 BONNYKELLY CT",
            "city": "BRISTOW",
            "state": "VA",
            "postal_code": "201365612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9642 BURKE LAKE RD",
            "city": "BURKE",
            "state": "VA",
            "postal_code": "220153052",
            "telephone_number": "703-425-1698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARRISON",
        "first_name": "JORDYN",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "VA",
            "license": "0131002769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Dana Michele Harrington, ARNP
• Susan Marie Harrington, PT
• Dale A Harris, M.D.
• Melanie Wilson Hartman, DMD
• Hashem Sedaghatpour D.M.D. P.C.
• Tina Hashtroudilar, DC
• Ahmed Hassanin
• Manuela V Hawes

• Occupational Therapy Assistant in Burke, VA
• Providers in Burke, VA by specialty
• Occupational Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.