Jennifer Lea Short, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

1419 Issued in OK

Practice address

701 S Main St
Broken Arrow, OK 74012-5528

Phone

(918) 845-8641

NPI assigned

Sep 14, 2018

Last updated

Sep 14, 2018By the provider in NPPES

Sex

Female

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": "1536883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536883200000",
    "number": "1881177863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 W WALNUT ST",
            "city": "COLLINSVILLE",
            "state": "OK",
            "postal_code": "740211708",
            "telephone_number": "918-845-8641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 S MAIN ST",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740125528",
            "telephone_number": "918-845-8641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHORT",
        "first_name": "JENNIFER",
        "middle_name": "LEA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-14",
        "last_updated": "2018-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "OK",
            "license": "1419",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shift Happens Therapy Services, LLC
• Erica D. Shinn, PHARM.D.
• Tracy L Shoemaker, OD
• Shoop Family Dentistry, LLC
• Elizabeth Ann Short, MCD, CCC SLP
• Andrea Dawn Shotton, MS RD LD
• Stephen C Shuey, D.C.
• Maria L Shultz
• Sarah Shwayyat
• Robert Austin Sibley, DO

• Occupational Therapy Assistant in Broken Arrow, OK
• Providers in Broken Arrow, 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 Sep 14, 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.