Jacob Batesole

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

005773 Issued in OH

Practice address

33200 Health Campus Blvd
Avon, OH 44011-1481

Phone

(440) 937-0757

NPI assigned

Oct 18, 2024

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": "1729209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729209600000",
    "number": "1609697010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 GULF RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352962",
            "telephone_number": "440-452-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33200 HEALTH CAMPUS BLVD",
            "city": "AVON",
            "state": "OH",
            "postal_code": "440111481",
            "telephone_number": "440-937-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATESOLE",
        "first_name": "JACOB",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-18",
        "last_updated": "2024-10-18",
        "certification_date": "2024-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "005773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Ann Barth, OTR/L
• Linda Bartko, CNP
• Kimberly Nichole Bartlome, HAS
• Alicia Basen, RD,LD
• Zaid Batayneh, RPH
• Maighdlin Bauman
• Jenna Beal
• Christopher Bej, DMD
• Sara Marie Beldon, CNP
• Stephen Paul Benesh, PT

• All providers in Avon, OH
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2024; 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.