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

Jaclene Mathis, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1598215055

Jaclene Mathis, COTA/L is an Occupational Therapy Assistant in North Charleston, South Carolina. Works from 2 locations. Licensed in South Carolina.

Licensed in
SC
In the registry since
2016
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

3025 Ashley Phosphate Rd Ste C1B
North Charleston, SC 29418-8447
Phone: (843) 568-2932
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 524 Pleasant Side Dr, Moncks Corner, SC 29461-7387 — (843) 568-2932

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 3060 (SC)

Record details

NPI number1598215055
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedOctober 9, 2016
Last updated in NPPESJune 11, 2025
Certification dateJune 11, 2025

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