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

Jake Cavenaugh

Individual provider Occupational Therapy Assistant · NPI 1730508664

Jake Cavenaugh is an Occupational Therapy Assistant in Tifton, Georgia. Practices as a sole proprietor. Registered with an NPI since 2014.

In the registry since
2014
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Practice location Address checks out

15 Salem Church Rd
Tifton, GA 31793-6754
Phone: (229) 392-0558
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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

Record details

NPI number1730508664
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 8, 2014
Last updated in NPPESApril 8, 2014
Mailing address15 Salem Church Rd, Tifton, GA 31793-6754

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