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

Jeffrey S Jackson, COTA

Individual provider Occupational Therapy Assistant · NPI 1023147402

Jeffrey S Jackson, COTA is an Occupational Therapy Assistant in Cumming, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007
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

1515 Brookmere Way
Cumming, GA 30040-1896
Phone: (734) 309-0244
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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 002748 (GA)

Record details

NPI number1023147402
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedMarch 3, 2007
Last updated in NPPESOctober 24, 2023
Certification dateOctober 24, 2023
Mailing address2222 Sullivan Trl, Easton, PA 18040-7958

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