Individual provider Active NPI

Jason Valley, OTR/L

  • Occupational Therapist
  • Sagamore Hills, OH
National Provider Identifier
1861736381
Registry record updated Nov 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
007993 Issued in OH
Practice address
180 Eaton Ridge Dr Apt 102
Sagamore Hills, OH 44067-1579
Phone
(440) 596-7871
NPI assigned
Nov 21, 2012
Last updated
Nov 21, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 007993 OH Primary

Addresses

Primary practice location

180 Eaton Ridge Dr Apt 102
Sagamore Hills, OH 44067-1579

Mailing address

180 Eaton Ridge Dr Apt 102
Sagamore Hills, OH 44067-1579

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
007993OHMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1861736381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 EATON RIDGE DR APT 102",
            "city": "SAGAMORE HILLS",
            "state": "OH",
            "postal_code": "440671579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 EATON RIDGE DR APT 102",
            "city": "SAGAMORE HILLS",
            "state": "OH",
            "postal_code": "440671579",
            "telephone_number": "440-596-7871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALLEY",
        "first_name": "JASON",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "007993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sagamore Hills, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.