Jacklyn Rachelle Boren, COTA/L
NPI 1174233084ActiveIndividual· Occupational Therapy Assistant· San Tan Valley, AZ
Occupational Therapy Assistant (COTA/L) in San Tan Valley, Arizona, licensed in AZ, with an NPI issued in December 2022.
Overview
| NPI | 1174233084 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | COTA/L |
| Sole proprietor | No |
| NPI issued | Dec 1, 2022 |
| Last updated in NPPES | Dec 1, 2022 |
| Certified by provider | Nov 26, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | OTA-047153 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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