Jaisa D Berry, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

2229 Issued in OK

Practice address

1029 E Washington Ave
McAlester, OK 74501-4849

Phone

(918) 423-2220

NPI assigned

Sep 2, 2020

Last updated

Mar 23, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Jaisa D Allen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Ergonomic Consultants, LLC

  dba RehabVisions

  • Multi-Specialty Clinic/Center
  • McAlester, OK
  • NPI 1922039882
  NPD

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

{
    "created_epoch": "1599004800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616457600000",
    "number": "1821602350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10292 S BENTLEY RD",
            "city": "ATOKA",
            "state": "OK",
            "postal_code": "745257491",
            "telephone_number": "580-364-3639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1029 E WASHINGTON AVE",
            "city": "MCALESTER",
            "state": "OK",
            "postal_code": "745014849",
            "telephone_number": "918-423-2220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "JAISA",
        "middle_name": "D",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-02",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "2229",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAISA",
            "last_name": "ALLEN",
            "middle_name": "D",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Revathi Chikkappaiah Belur, MD
• James Lee Belvin
• Jeffrey Wayne Benson, APRN-CNP
• Eleanor Dianne Bentley, B.S.
• Chelsea Berges, D.O.
• Laura Beshear
• Kourtnee Beshears, LPC CANDIDATE
• Bessie Ott
• Shayla Best
• Tara L Best, LMFT

• Occupational Therapy Assistant in McAlester, OK
• Providers in McAlester, OK by specialty
• Occupational Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2021; 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.