Jasmin Patel, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

002142 Issued in GA

Practice address

128 Cottonwood TRL
Jackson, GA 30233-3912

Phone

(770) 377-1308

NPI assigned

Nov 20, 2015

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 3

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": "1447977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525046400000",
    "number": "1972977437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 COTTONWOOD TRL",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302333912",
            "telephone_number": "770-377-1308"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 COTTONWOOD TRL",
            "city": "JACKSON",
            "state": "GA",
            "postal_code": "302333912",
            "telephone_number": "770-377-1308"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATEL",
        "first_name": "JASMIN",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-20",
        "last_updated": "2018-04-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "12748",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "002142",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FL OTA LISCENSE",
            "identifier": "12748",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA OTA LICENSE",
            "identifier": "002142",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX OTA LICENSE",
            "identifier": "212405",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Crystal Ann Preston-Lloyd, NP-C
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• Deborah McGraw Quinton, L.C.S.W.

• Occupational Therapy Assistant in Jackson, GA
• Providers in Jackson, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 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.