Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Jerrold Gibbs, COTA/L

Individual provider Occupational Therapy Assistant · NPI 1659965838

Mr. Jerrold Gibbs, COTA/L is an Occupational Therapy Assistant in Decatur, Georgia. Practices as a sole proprietor. Licensed in California and Georgia.

Licensed in
CA, GA
In the registry since
2021
Specialties on file
2
What do these letters mean?
COTA/L — Certified Occupational Therapy Assistant, Licensed
An occupational therapy assistant who is both certified and state licensed.

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Practice location Address checks out

2787 N Decatur Rd
Decatur, GA 30033-5919
Phone: (404) 292-0626
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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 OTA001697 (GA)
Occupational Therapy Assistant Taxonomy 224Z00000X · Licence OTA3164 (CA)

Record details

NPI number1659965838
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedFebruary 27, 2021
Last updated in NPPESFebruary 27, 2021
Certification dateFebruary 27, 2021

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