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

Mr. Michael Jackson, COTA

Individual provider Occupational Therapy Assistant · NPI 1467823104

Mr. Michael Jackson, COTA is an Occupational Therapy Assistant in Tacoma, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2015
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

1913 N Oakes St Apt D
Tacoma, WA 98406-7527
Phone: (253) 223-3590
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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 OC 60534324 (WA)

Record details

NPI number1467823104
Entity typeIndividual (Type 1)
GenderMale
Credentials COTA
Sole proprietorYes
NPI enumeratedOctober 7, 2015
Last updated in NPPESOctober 7, 2015
Mailing address1913 N Oakes St Apt D, Tacoma, WA 98406-7527

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