Active NPIIndividual provider

Bethany Jackson, COTA

Occupational Therapy Assistant in Middletown, Rhode Island

NPI Number1588267652
Practice location
193 Forest Ave, Middletown, RI 02842-4625
Fax
—
Last updated
November 19, 2020

Bethany Jackson is an Occupational Therapy Assistant based in Middletown, RI. Bethany Jackson practices in Middletown, RI and has the professional credentials of COTA. The NPI Number for Bethany Jackson is 1588267652 and holds a License No. OTA00443 (RI). The current practice location address for Bethany Jackson is 193 Forest Ave, Middletown, RI 02842-4625 and can be reached out via phone at 401-847-2777.

Provider Profile Details

NPI Number
1588267652
Provider Name
Bethany Jackson
Credential
COTA
Provider Entity Type
Individual
Gender
Female
Address
193 Forest Ave, Middletown, RI 02842-4625
Phone Number
401-847-2777
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
November 19, 2020
Last Update Date
November 19, 2020
Certification Date
November 19, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
193 Forest Ave
Middletown, RI 02842-4625
Zip
02842-4625
Phone Number
401-847-2777
Middletown, RI 02842Get directions →

Provider Business Mailing Address Details

Address
77 Lucy Ave
Tiverton, RI 02878-3921
City
Tiverton
State
RI
Zip
02878-3921
Phone Number
401-575-7067

License Information

License Number
OTA00443
License State
RI
Taxonomy
Occupational Therapy Assistant · 224Z00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Bethany Jackson, COTA?

The NPI number of Bethany Jackson, COTA is 1588267652. It was assigned on November 19, 2020 and is currently active in the NPPES registry.

What is the specialty of Bethany Jackson, COTA?

Bethany Jackson, COTA is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in RI under license number OTA00443.

Where does Bethany Jackson, COTA practice?

The practice location is 193 Forest Ave, Middletown, RI 02842-4625. The office can be reached at 401-847-2777 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588267652 directly on the NPPES registry website.

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