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

Jerusha Otieno

Individual provider Occupational Therapy Assistant · NPI 1083194146

Jerusha Otieno is an Occupational Therapy Assistant in Fort Worth, Texas. Licensed in Texas. Registered with an NPI since 2018.

Licensed in
TX
In the registry since
2018

Practice location Address checks out

4600 Heritage Trace Pkwy
Fort Worth, TX 76244-8900
Phone: (817) 741-9360
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapy Assistant (primary) Taxonomy 224Z00000X · Licence 211239 (TX)

Record details

NPI number1083194146
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 17, 2018
Last updated in NPPESAugust 17, 2018
Mailing address4600 Heritage Trace Pkwy, Fort Worth, TX 76244-8900

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