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

Individual provider Occupational Therapy Assistant · NPI 1790331718

Javier Ibanez, COTA is an Occupational Therapy Assistant in Oklahoma City, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2019.

Licensed in
OK
In the registry since
2019
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

1414 SW 89th St Ste A
Oklahoma City, OK 73159-6312
Phone: (405) 703-8424
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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 2096 (OK)

Record details

NPI number1790331718
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedAugust 15, 2019
Last updated in NPPESAugust 15, 2019

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