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

Jason Nicolle, COTA-L

Individual provider Occupational Therapist · NPI 1134518756

Jason Nicolle, COTA-L is an Occupational Therapist in Jonesboro, Arkansas. Licensed in Arkansas. Registered with an NPI since 2015.

Licensed in
AR
In the registry since
2015

Practice location Address checks out

1801 Grant Ave
Jonesboro, AR 72401-6155
Phone: (870) 974-9114
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OTR3376 (AR)

Record details

NPI number1134518756
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA-L
Sole proprietorNo
NPI enumeratedJanuary 20, 2015
Last updated in NPPESDecember 7, 2023
Certification dateDecember 7, 2023

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