Active NPI
Jasmine F Colon, COTA/L
- Occupational Therapy Assistant
- Lawton, OK
National Provider Identifier
1972151470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 2651
- Practice address
- 1001 SW a Ave
Lawton, OK 73501-3951 - Phone
- (732) 505-7658
- NPI assigned
- Aug 28, 2019
- Reactivated
- Jul 23, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OTA17412 | FL | |
| Occupational Therapy Assistant | 224Z00000X | 2651 | OK | Primary |
Addresses
Primary practice location
1001 SW a Ave
Lawton, OK 73501-3951
Mailing address
1410 NW Taylor Ave Unit C
Lawton, OK 73507-3884
Phone (580) 928-7210
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9527941466 | Medicaid | FL |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jcolon45@hotmail.com | ||
| Direct Messaging Address | jmangine@sunnydays.com | Direct |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2651 | OK | MD | Physical Therapist |
| OTA17412 | FL | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sunny Days Sunshine Center Inc | Multi-Specialty | Past | Accepting new patients |
| Sunny Days Sunshine Center Inc | Multi-Specialty | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Speech-Language Pathologist
- Manalapan, NJ
- NPI 1093058547
Multi-Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566950400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1753833600000",
"number": "1972151470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1410 NW TAYLOR AVE UNIT C",
"city": "LAWTON",
"state": "OK",
"postal_code": "735073884",
"telephone_number": "580-928-7210"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 SW A AVE",
"city": "LAWTON",
"state": "OK",
"postal_code": "735013951",
"telephone_number": "732-505-7658"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLON",
"first_name": "JASMINE",
"middle_name": "F",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-28",
"last_updated": "2025-07-30",
"certification_date": "2025-07-30",
"deactivation_date": "2022-11-09",
"reactivation_date": "2025-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "FL",
"license": "OTA17412",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": "OK",
"license": "2651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9527941466",
"state": "FL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jcolon45@hotmail.com",
"affiliation": "N",
"address_1": "207 Park Place Blvd # 201",
"city": "Kissimmee",
"state": "FL",
"country_code": "US",
"postal_code": "347412373",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jmangine@sunnydays.com",
"affiliation": "N",
"endpointDescription": "Credentialing Specialist",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1410 NW Taylor Ave Unit C",
"city": "Lawton",
"state": "OK",
"country_code": "US",
"postal_code": "735073884",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lawton, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.