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

Individual provider Occupational Therapy Assistant · NPI 1225374366

Jonathan Ethan White, COTA is an Occupational Therapy Assistant in South Holland, Illinois. Licensed in Illinois. Registered with an NPI since 2012.

Licensed in
IL
In the registry since
2012
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

751 E 163rd Pl
South Holland, IL 60473-2306
Phone: (708) 439-0654
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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 057003706 (IL)

Record details

NPI number1225374366
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedDecember 18, 2012
Last updated in NPPESDecember 18, 2012
Mailing address751 East 163rd Place, South Holland, IL 60473

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