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

Individual provider Occupational Therapy Assistant · NPI 1386914638

Jordan Nicole Sparks, COTA is an Occupational Therapy Assistant in Tyler, Texas. Licensed in Texas. Registered with an NPI since 2012.

Licensed in
TX
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

3414 Golden Rd
Tyler, TX 75701-8336
Phone: (903) 939-7500
Fax: (903) 939-7754
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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 210115 (TX)

Record details

NPI number1386914638
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedJanuary 4, 2012
Last updated in NPPESJanuary 4, 2012

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