Individual provider Active NPI

Tosha Jaegers

  • Occupational Therapy Assistant
  • St Elizabeth, MO
National Provider Identifier
1750639613
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2012023107 Issued in MO
Practice address
649 S Walnut St
St Elizabeth, MO 65075-2440
Phone
(314) 543-3860
NPI assigned
Aug 27, 2012
Last updated
Sep 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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 2012023107 MO Primary

Addresses

Primary practice location

649 S Walnut St
St Elizabeth, MO 65075-2440

Mailing address

649 S Walnut St
St Elizabeth, MO 65075-2440

Other identifiers 1

IdentifierTypeStateIssuer
224Z00000XOtherMOOTA

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
2012023107MOMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1750639613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 S WALNUT ST",
            "city": "ST ELIZABETH",
            "state": "MO",
            "postal_code": "650752440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 S WALNUT ST",
            "city": "ST ELIZABETH",
            "state": "MO",
            "postal_code": "650752440",
            "telephone_number": "314-543-3860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAEGERS",
        "first_name": "TOSHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2025-09-11",
        "certification_date": "2020-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2012023107",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTA",
            "identifier": "224Z00000X",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Elizabeth, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.