Jasmine Johnson, COTA
Individual provider Active NPI Occupational Therapy Assistant · Yorkville, OH
NPI 1881259331 · NPPES record last updated May 9, 2019
Key facts
- NPI
- 1881259331
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- C2247 (WV)
- Practice address
- 330 William St
Yorkville, OH 43971-1140 - Phone
- (304) 218-3533
- NPI assigned
- May 9, 2019
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA007428 | OH | MD | Occupational Therapy Assistant |
| C2247 | WV | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA007428 | OH | |
| Occupational Therapy Assistant | 224Z00000X | C2247 | WV | Yes |
Addresses
Primary practice location
330 William St
Yorkville, OH 43971-1140
Mailing address
330 William St
Yorkville, OH 43971-1140
Phone (304) 218-3533
Other providers in Yorkville, OH
- Kristi Anderson
- Taylor L Bellville
- Brian Dale Dolence
- Ford Hull Mar Nursing Home, Inc
- Gene Joseph Murray
- Rosewood Manor
- Thomas L Snodgrass
- Valley Physical Therapy Services Inc
- Lee Anne Vargo
All providers in Yorkville, OH · Occupational Therapy Assistant in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 9, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.