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

Individual provider Occupational Therapy Assistant · NPI 1962074575

Jerry Peterson, COTA is an Occupational Therapy Assistant in Bedford, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
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

2112 Forum Pkwy
Bedford, TX 76021-6028
Phone: (817) 799-4600
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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 203545 (TX)

Record details

NPI number1962074575
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorYes
NPI enumeratedJuly 13, 2021
Last updated in NPPESJuly 13, 2021
Certification dateJuly 13, 2021
Mailing address2112 Forum Pkwy, Bedford, TX 76021-6028

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