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

Individual provider Occupational Therapy Assistant · NPI 1255793063

Jodi Rae Hageman, COTA is an Occupational Therapy Assistant in Glendale, Arizona. Licensed in Arizona. Registered with an NPI since 2016.

Licensed in
AZ
In the registry since
2016
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

4714 W Topeka Dr
Glendale, AZ 85308-4849
Phone: (623) 203-6790
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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 (AZ)

Record details

NPI number1255793063
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedMarch 22, 2016
Last updated in NPPESMarch 22, 2016

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