Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Casey Nicole Jackson, COTA

Individual provider Occupational Therapy Assistant · NPI 1902588684

Casey Nicole Jackson, COTA is an Occupational Therapy Assistant in San Antonio, Texas. Licensed in Texas. Registered with an NPI since 2023.

Licensed in
TX
In the registry since
2023
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

15600 San Pedro Ave Ste 305
San Antonio, TX 78232-3739
Phone: (210) 582-5840
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 217958 (TX)

Record details

NPI number1902588684
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedAugust 2, 2023
Last updated in NPPESAugust 2, 2023
Certification dateAugust 2, 2023

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