Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jaison Metrock, ITDS, COTA, SLPA

Individual provider Developmental Therapist · NPI 1366675084

Jaison Metrock, ITDS, COTA, SLPA is a Developmental Therapist in Pembroke Pines, Florida. Licensed in Florida. Registered with an NPI since 2009.

Licensed in
FL
In the registry since
2009
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

1674 NW 143rd Way
Pembroke Pines, FL 33028-3009
Phone: (954) 554-1633
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Developmental Therapist (primary) Taxonomy 222Q00000X (FL)

Record details

NPI number1366675084
Entity typeIndividual (Type 1)
GenderMale
Credentials ITDS , COTA , SLPA
Sole proprietorNo
NPI enumeratedAugust 27, 2009
Last updated in NPPESJanuary 31, 2022
Certification dateDecember 27, 2021

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