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

Jazmine Wagner, COTA

Individual provider Occupational Therapy Assistant · NPI 1205428133

Jazmine Wagner, COTA is an Occupational Therapy Assistant in Yukon, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2021.

Licensed in
OK
In the registry since
2021
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

9029 NW 83rd St
Yukon, OK 73099-9649
Phone: (405) 612-7471
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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 1858 (OK)

Record details

NPI number1205428133
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedFebruary 11, 2021
Last updated in NPPESFebruary 11, 2021
Certification dateFebruary 11, 2021

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