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

Mr. Jack J Hughes III, COTA

Individual provider Nursing Facility/Intermediate Care Facility · NPI 1528309267

Mr. Jack J Hughes III, COTA is a Nursing Facility/Intermediate Care Facility in Peru, Indiana. Practices as a sole proprietor. Licensed in Indiana.

Licensed in
IN
In the registry since
2013
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

1850 W Matador St
Peru, IN 46970-3711
Phone: (765) 689-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nursing Facility/Intermediate Care Facility (primary) Taxonomy 313M00000X · Licence 32002213A (IN)

Record details

NPI number1528309267
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorYes
NPI enumeratedMarch 5, 2013
Last updated in NPPESMarch 5, 2013