Individual provider Active NPI

Jessica K Daggett, COTA/L

  • Occupational Therapy Assistant
  • Colorado Springs, CO
National Provider Identifier
1720845795
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA.0001098 Issued in CO
Practice address
1060 Harrison Rd
Colorado Springs, CO 80905-3543
Phone
(171) 957-9200
NPI assigned
Mar 5, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA.0001098 CO Primary

Addresses

Primary practice location

1060 Harrison Rd
Colorado Springs, CO 80905-3543

Mailing address

1060 Harrison Rd
Colorado Springs, CO 80905-3543
Phone (171) 957-9200

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

State licenses

LicenseStateTypeSpecialty
OTA.0001098COMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
County of El Paso School Dist 2 CurrentSince Mar 12, 2024 Accepting new patients

Locations

1060 Harrison Rd
Colorado Springs, CO 80905
Phone (719) 579-2000

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1709596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1720845795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1060 HARRISON RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809053543",
            "telephone_number": "171-957-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1060 HARRISON RD",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809053543",
            "telephone_number": "171-957-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAGGETT",
        "first_name": "JESSICA",
        "middle_name": "K",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-05",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CO",
            "license": "OTA.0001098",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.