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

Individual provider Occupational Therapy Assistant · NPI 1063160992

Haley Jackson, COTA is an Occupational Therapy Assistant in Overland Park, Kansas. Licensed in Kansas. Registered with an NPI since 2022.

Licensed in
KS
In the registry since
2022
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

12100 W 109th St
Overland Park, KS 66210-1200
Phone: (913) 469-4210
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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 18-01524 (KS)

Record details

NPI number1063160992
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedMarch 10, 2022
Last updated in NPPESMarch 10, 2022
Certification dateMarch 10, 2022

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