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

Individual provider Physical Medicine & Rehabilitation Physician · NPI 1598205866

Jake Eastwood, COTA/L is a Physical Medicine & Rehabilitation Physician in Mesa, Arizona. Licensed in Arizona. Registered with an NPI since 2017.

Licensed in
AZ
In the registry since
2017
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

1025 N Country Club Dr
Mesa, AZ 85201-3307
Phone: (480) 472-8494
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X · Licence 6535 (AZ)

Record details

NPI number1598205866
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorNo
NPI enumeratedMarch 6, 2017
Last updated in NPPESMarch 6, 2017

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