Active NPIIndividual provider

Mrs. Jennifer Smith, COTA/L

Occupational Therapy Assistant in Blackwood, New Jersey

NPI Number1912134123
Practice location
400 E Church St, Blackwood, NJ 08012-3910
Fax
—
Last updated
May 13, 2026

Jennifer Smith is an Occupational Therapy Assistant based in Blackwood, NJ. Jennifer Smith practices in Blackwood, NJ and has the professional credentials of COTA/L. The NPI Number for Jennifer Smith is 1912134123 and holds a License No. TA09025800 (NJ). The current practice location address for Jennifer Smith is 400 E Church St, Blackwood, NJ 08012-3910 and can be reached out via phone at 609-703-6089.

Provider Profile Details

NPI Number
1912134123
Provider Name
Jennifer Smith
Credential
COTA/L
Provider Entity Type
Individual
Gender
Female
Address
400 E Church St, Blackwood, NJ 08012-3910
Phone Number
609-703-6089
Primary Taxonomy
Occupational Therapy Assistant · 224Z00000X
Sole Proprietor
No
Provider Enumeration Date
June 15, 2009
Last Update Date
May 13, 2026
Certification Date
May 13, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
400 E Church St
Blackwood, NJ 08012-3910
Zip
08012-3910
Phone Number
609-703-6089
Blackwood, NJ 08012Get directions →

Provider Business Mailing Address Details

Address
400 E Church St
Blackwood, NJ 08012-3910
City
Blackwood
State
NJ
Zip
08012-3910
Phone Number
609-703-6089

License Information

License Number
TA09025800
License State
NJ
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 Mrs. Jennifer Smith, COTA/L?

The NPI number of Mrs. Jennifer Smith, COTA/L is 1912134123. It was assigned on June 15, 2009 and is currently active in the NPPES registry.

What is the specialty of Mrs. Jennifer Smith, COTA/L?

Mrs. Jennifer Smith, COTA/L is registered under the primary taxonomy Occupational Therapy Assistant (code 224Z00000X), licensed in NJ under license number TA09025800.

Where does Mrs. Jennifer Smith, COTA/L practice?

The practice location is 400 E Church St, Blackwood, NJ 08012-3910. The office can be reached at 609-703-6089 (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 1912134123 directly on the NPPES registry website.

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