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

Individual provider Occupational Therapy Assistant · NPI 1972776177

Periz Monique Jackson, COTA is an Occupational Therapy Assistant in Austin, Texas. Licensed in Texas. Registered with an NPI since 2008.

Licensed in
TX
In the registry since
2008
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

3300 Etheredge Dr
Austin, TX 78725-4769
Phone: (512) 785-8774
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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 209095 (TX)

Record details

NPI number1972776177
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedApril 8, 2008
Last updated in NPPESApril 8, 2008

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