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

Jill J Broyles, COTA

Individual provider Occupational Therapy Assistant · NPI 1902144058

Jill J Broyles, COTA is an Occupational Therapy Assistant in Holiday Island, Arkansas. Licensed in Arkansas, Kansas and Missouri. Registered with an NPI since 2013.

Licensed in
AR, KS, MO
In the registry since
2013
Specialties on file
4
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

See every abbreviation used in this directory →

Practice location Address checks out

23 Parkcliff Dr
Holiday Island, AR 72631-8045
Phone: (479) 363-6422
Fax: (479) 363-6763
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 OT-A1905 (AR)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 2021006128 (MO)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence 1800833 (KS)
Nursing Home Administrator Taxonomy 376G00000X · Licence 3786 (KS)

Record details

NPI number1902144058
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedJanuary 24, 2013
Last updated in NPPESMarch 24, 2023
Certification dateMarch 24, 2023

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