Chante Olivia Jackson, C.O.T.A.L
NPI 1497523641ActiveIndividual· Occupational Therapy Assistant· Southfield, MI
Occupational Therapy Assistant (C.O.T.A.L) in Southfield, Michigan, licensed in MI, with an NPI issued in December 2023.
Overview
| NPI | 1497523641 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | C.O.T.A.L |
| Sole proprietor | Yes |
| NPI issued | Dec 18, 2023 |
| Last updated in NPPES | Dec 18, 2023 |
| Certified by provider | Jul 25, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | 5202006981 | MI |
| Occupational Therapist | 225X00000X | 5202006981 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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 |
|---|
Other Occupational Therapy Assistant providers in Southfield
- 1124797758
- 1326180340
- 1386160927
- 1952953739
- 1376113662
- 1831965318
- 1487270534
- 1952803736
- 1811496029
- 1962953992
- 1245000967
- 1225608714