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

Jared Tyler Whittaker

Individual provider Occupational Therapy Assistant · NPI 1003700303

Jared Tyler Whittaker is an Occupational Therapy Assistant in Roanoke, Virginia. Licensed in Virginia. Registered with an NPI since 2025.

Licensed in
VA
In the registry since
2025
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Practice location Address checks out

650 N Jefferson St
Roanoke, VA 24016-1427
Phone: (540) 293-8087
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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 0131003017 (VA)

Record details

NPI number1003700303
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 3, 2025
Last updated in NPPESJune 3, 2025
Certification dateJune 3, 2025
Mailing address650 N Jefferson St, Roanoke, VA 24016-1427

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