Active NPI
Ashley Jackson, COTA/L
- Occupational Therapy Assistant
- Iowa City, IA
National Provider Identifier
1619334109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 000812
- Practice address
- 3661 Rochester Ave
Iowa City, IA 52245-9271 - Phone
- (319) 887-3092
- NPI assigned
- Jan 28, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 000812 | IA | Primary |
Addresses
Primary practice location
3661 Rochester Ave
Iowa City, IA 52245-9271
Mailing address
1707 Northbrook Dr NE
Cedar Rapids, IA 52402-1121
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1453939200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453939200000",
"number": "1619334109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1707 NORTHBROOK DR NE",
"city": "CEDAR RAPIDS",
"state": "IA",
"postal_code": "524021121"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3661 ROCHESTER AVE",
"city": "IOWA CITY",
"state": "IA",
"postal_code": "522459271",
"telephone_number": "319-887-3092"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JACKSON",
"first_name": "ASHLEY",
"credential": "COTA/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-28",
"last_updated": "2016-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "IA",
"license": "000812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Iowa City, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.