Ralph Jacob, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

13233 Issued in FL

Practice address

10261 Pines Blvd
Pembroke Pines, FL 33026-6008

Phone

(954) 356-2878

NPI assigned

Oct 12, 2018

Last updated

Oct 12, 2018By the provider in NPPES

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": "1539302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1539302400000",
    "number": "1851866123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10261 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330266008",
            "telephone_number": "287-895-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10261 PINES BLVD",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330266008",
            "telephone_number": "954-356-2878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOB",
        "first_name": "RALPH",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "13233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Douglene J Jackson, PHD, OTR/L, LMT, ATP
• John Edward Jackson, BS MS,LMHC,CAP
• Sandina Samantha Jackson, APRN
• Bindhu Jacob, APRN
• Jeffy Jacob, DO
• Edwige Jacques-Parent, ED.D
• Jade Therapeutics Inc (Physical Therapy Now Pembroke Pines)
• Jaffer Medical Group, PA
• Jagdeep S Narula M D & Associates P a
• Jessica Kailynn Jahoda, MD

• Occupational Therapy Assistant in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 2018; 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.