Tina Jordan, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

COTA-733 Issued in WY

Practice address

307 Main St
Lander, WY 82520-3101

Phone

(307) 332-2715

Fax

(307) 332-3014

NPI assigned

Apr 30, 2013

Sex

Female

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

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.

• Sinks Canyon Therapies Inc

  • Occupational Therapist
  • Lander, WY
  • NPI 1891828752
  NPD (past)
• Sinks Canyon Therapies Inc

  • Physical Therapist
  • Lander, WY
  • NPI 1982944153
  NPD (past)

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

{
    "created_epoch": "1367280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1367280000000",
    "number": "1699110940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 MAIN ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203101",
            "telephone_number": "307-332-2715",
            "fax_number": "307-332-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 MAIN ST",
            "city": "LANDER",
            "state": "WY",
            "postal_code": "825203101",
            "telephone_number": "307-332-2715",
            "fax_number": "307-332-3014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "TINA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-30",
        "last_updated": "2013-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WY",
            "license": "COTA-733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cristina Jensen, LPC
• Sue Jezek
• Hollie Johnson, FNP-C
• Kelly Johnson, LCSW
• Troy R Jones, MD
• Heather Marie Judkins, DNP
• Tasia Ray Juoni
• Elizabeth A Kauffman, M.P.T
• Keith C Kaufman, MSPT
• Lorin Brent Kaufman, MPT

• Occupational Therapy Assistant in Lander, WY
• Providers in Lander, WY by specialty
• Occupational Therapy Assistant in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2013; 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.