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

Daniel Jackson, COTA

Individual provider Occupational Therapy Assistant · NPI 1780043091

Daniel Jackson, COTA is an Occupational Therapy Assistant in Winter Haven, Florida. Practices as a sole proprietor. Licensed in Florida and Missouri.

Licensed in
FL, MO
In the registry since
2016
Specialties on file
2
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

4208 Glenns Pass
Winter Haven, FL 33884-2443
Phone: (706) 699-2894
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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 OTA18819 (FL)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 2008034752 (MO)

Record details

NPI number1780043091
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorYes
NPI enumeratedFebruary 15, 2016
Last updated in NPPESSeptember 27, 2022
Certification dateSeptember 27, 2022
Mailing address4208 Glenns Pass, Winter Haven, FL 33884-2443

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