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

Mr. Jeffery Todd Black, COTA

Individual provider Occupational Therapy Assistant · NPI 1568588531

Mr. Jeffery Todd Black, COTA is an Occupational Therapy Assistant in Sissonville, West Virginia. Licensed in West Virginia. Registered with an NPI since 2007.

Licensed in
WV
In the registry since
2007
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

302 Cedar Ridge Rd
Sissonville, WV 25320-9502
Phone: (304) 984-0046
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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 C#1399 (WV)

Record details

NPI number1568588531
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorNo
NPI enumeratedMarch 22, 2007
Last updated in NPPESJuly 8, 2007

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