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

Mr. Jordan Russell Carver, COTA/L

Individual provider Skilled Nursing Facility · NPI 1912278391

Mr. Jordan Russell Carver, COTA/L is a Skilled Nursing Facility in Lafayette, Tennessee. Practices as a sole proprietor. Licensed in Tennessee.

Licensed in
TN
In the registry since
2012
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

203 Mai Ridge Ln
Lafayette, TN 37083-4477
Phone: (615) 633-8159
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 1891 (TN)

Record details

NPI number1912278391
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA/L
Sole proprietorYes
NPI enumeratedJanuary 18, 2012
Last updated in NPPESJanuary 18, 2012

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