Jonathan Packer, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA00656 Issued in RI

Practice address

621 Dexter St
Central Falls, RI 02863-2742

Phone

(401) 721-9294

NPI assigned

May 28, 2014

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Children's Friend and Service

  • Voluntary or Charitable Agency
  • Providence, RI
  • NPI 1972662104
  NPD (past)

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

{
    "created_epoch": "1401235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1902218761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "153 SUMMER ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029034011",
            "telephone_number": "401-276-4347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 DEXTER ST",
            "city": "CENTRAL FALLS",
            "state": "RI",
            "postal_code": "028632742",
            "telephone_number": "401-721-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACKER",
        "first_name": "JONATHAN",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-05-28",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "RI",
            "license": "OTA00656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jordan Maria O'Neill, DMD
• Oluyemisi Olagunju
• Maria Christine Omar
• Angelina Maria Oosterhof, MED MSC
• Brenna Ouellette, M.S. CCC-SLP
• Emma Paolella
• Gajee Anna Parsons
• Richard Mark Pasquali, DDS
• Marilenis Perez
• Rachel Elizabeth Phillips, BSW

• Occupational Therapy Assistant in Central Falls, RI
• Providers in Central Falls, RI by specialty
• Occupational Therapy Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.