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

Jesse Buckner, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1154951259

Jesse Buckner, COTA/L is an Occupational Therapy Assistant in Medford, Oregon. Practices as a sole proprietor. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

834 S Frnt ST
Medford, OR 97502-2726
Phone: (541) 664-7400
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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

Record details

NPI number1154951259
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedJanuary 17, 2020
Last updated in NPPESApril 4, 2020
Certification dateApril 4, 2020
Mailing address560 Ne F St Ste A, 114, Grants Pass, OR 97526

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