Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jackie Kathleen Profera, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1982177341

Jackie Kathleen Profera, COTA/L is an Occupational Therapy Assistant in Albany, New York. Licensed in New York. Registered with an NPI since 2019.

Licensed in
NY
In the registry since
2019
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

43 New Scotland Ave
Albany, NY 12208-3412
Phone: (518) 262-3291
Fax: (518) 262-4492
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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 009663-1 (NY)

Record details

NPI number1982177341
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedJanuary 9, 2019
Last updated in NPPESJanuary 9, 2019

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