Jacob M Craig, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA006968 Issued in OH

Practice address

601 State Route 664 N
Logan, OH 43138-8541

Phone

(740) 380-8000

NPI assigned

Aug 7, 2017

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": "1502064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1502064000000",
    "number": "1700301132",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7585 BREMEN RD SE",
            "city": "LANCASTER",
            "state": "OH",
            "postal_code": "431309426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 STATE ROUTE 664 N",
            "city": "LOGAN",
            "state": "OH",
            "postal_code": "431388541",
            "telephone_number": "740-380-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAIG",
        "first_name": "JACOB",
        "middle_name": "M",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-07",
        "last_updated": "2017-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OH",
            "license": "OTA006968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kara Copestick, QMHS
• Shannon Lynn Copley
• Lauren Coulardot
• County of Hocking (Hocking County EMS)
• County of Hocking (Hocking County Health Department)
• Amber Cramer, LPN
• Shaun Crisp, COTA/L BS
• Scott J Cryder, PA-C
• Lisa Ann Cullison, APRN, PMHNP-BC
• David L Cummin, MD

• Occupational Therapy Assistant in Logan, OH
• Providers in Logan, OH by specialty
• Occupational Therapy Assistant in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2017; 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.