Individual provider Active NPI

Antonia Jaster, COTA

  • Occupational Therapy Assistant
  • Tucson, AZ
National Provider Identifier
1891950465
Registry record updated Jul 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
2681 Issued in AZ
Practice address
6651 E Carondelet Dr
Tucson, AZ 85710-2118
Phone
(520) 731-8533
Fax
(520) 721-3601
NPI assigned
Jul 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2681 AZ Primary

Addresses

Primary practice location

6651 E Carondelet Dr
Tucson, AZ 85710-2118

Mailing address

5809 E 5TH St
Tucson, AZ 85711-2403
Phone (520) 232-3896

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
2681AZMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1216771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216771200000",
    "number": "1891950465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5809 E 5TH ST",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857112403",
            "telephone_number": "520-232-3896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6651 E CARONDELET DR",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102118",
            "telephone_number": "520-731-8533",
            "fax_number": "520-721-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JASTER",
        "first_name": "ANTONIA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-23",
        "last_updated": "2008-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AZ",
            "license": "2681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2008; 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.