Traves Jeffery, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

TA2831 Issued in MS

Practice address

122 Devlin Springs Dr
Madison, MS 39110-6549

Phone

(601) 613-3437

NPI assigned

Feb 26, 2014

Last updated

Feb 26, 2014By the provider in NPPES

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

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

{
    "created_epoch": "1393372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1548685654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 DEVLIN SPRINGS DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 DEVLIN SPRINGS DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391106549",
            "telephone_number": "601-613-3437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEFFERY",
        "first_name": "TRAVES",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-26",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MS",
            "license": "TA2831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jea Optical LLC
• Jea Surgical, LLC
• Fanasy Prokop Jefcoat, D.M.D., MS
• Taylor Cecile Illyana Jefferson
• Jeffery P Jones DC
• Jordan Larue Fulcher Jenkins, FNP-C
• Min Sun Ji
• Wayne P Jimenez, PT
• Amanda G Johnson, PHARMD
• Katherine Johnson, PLPC, NCC

• Occupational Therapy Assistant in Madison, MS
• Providers in Madison, MS by specialty
• Occupational Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2014; 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.