Cory Jayne, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OP008773 Issued in PA

Practice address

336 S West End Ave
Lancaster, PA 17603-5043

Phone

(717) 393-0419

NPI assigned

Jan 9, 2021

Sex

Male

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

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

{
    "created_epoch": "1610150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610150400000",
    "number": "1821686312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 ICE AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176021931",
            "telephone_number": "570-951-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 S WEST END AVE",
            "city": "LANCASTER",
            "state": "PA",
            "postal_code": "176035043",
            "telephone_number": "717-393-0419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JAYNE",
        "first_name": "CORY",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-09",
        "last_updated": "2021-01-09",
        "certification_date": "2021-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "PA",
            "license": "OP008773",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mark V Jarowenko, MD
• Savannah Jarratt
• Prudence Jarvie-Kupetz, CRNP
• Shaun Michael Jay, D.C., M.S.
• Rajeev Jayadevan, M.D.
• Jean Ferguson, Licensed Psychologist, LLC
• Jean S. Cannon, Psy.D., Inc
• Young Min Jee, M.D.
• Jeff Bare LLC (Oasis Counseling Services)
• Jeffery H Chaby DO Associates

• Occupational Therapy Assistant in Lancaster, PA
• Providers in Lancaster, PA by specialty
• Occupational Therapy Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 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.