Jill J. Broyles, COTA
NPI 1902144058ActiveIndividual· Occupational Therapy Assistant· Holiday Island, AR
Occupational Therapy Assistant (COTA) in Holiday Island, Arkansas, licensed in AR, MO and KS, with an NPI issued in January 2013.
Overview
| NPI | 1902144058 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | COTA |
| Sole proprietor | No |
| NPI issued | Jan 24, 2013 |
| Last updated in NPPES | Mar 24, 2023 |
| Certified by provider | Mar 24, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | OT-A1905 | AR |
| Occupational Therapy Assistant | 224Z00000X | 2021006128 | MO |
| Occupational Therapy Assistant | 224Z00000X | 1800833 | KS |
| Nursing Home Administrator | 376G00000X | 3786 | KS |
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 |
|---|
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