JORDAN BOEDIARTO COTA/L
NPI 1508473737
Occupational Therapy Assistant in Anaheim, CA

Active since October 01, 2020
141 S KNOTT AVE, ANAHEIM, CA 92804(714) 821-7310 Get Directions Write a Review

NPPES record last updated: October 1, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jordan Boediarto Cota/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JORDAN BOEDIARTO COTA/L (NPI 1508473737) is an individual occupational therapy assistant in Anaheim, California, licensed in California (2553) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1508473737
Entity TypeIndividualFemale
Primary Taxonomy224Z00000X
Provider Legal NameJORDAN BOEDIARTOCredential: COTA/L
Location Address141 S KNOTT AVEAnaheim, CA 92804-1458
Mailing Address9362 Mayrene DrGarden Grove, CA 92841-4822 · (714) 606-1945
Sole ProprietorYes
Enumeration DateOctober 1, 2020
NPPES CertifiedOctober 1, 2020
NPI 1508473737 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Z00000X
License Licensed in CA · 2553
Definition
An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
141 S KNOTT AVE, Anaheim, CA 92804

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Social Worker (Clinical)
141 S KNOTT AVE
ANAHEIM, CA 92804
Speech-Language Pathologist
141 S KNOTT AVE
ANAHEIM, CA 92804
Occupational Therapy Assistant
141 S KNOTT AVE
ANAHEIM, CA 92804
Occupational Therapist
141 S KNOTT AVE
ANAHEIM, CA 92804
Occupational Therapist
141 S KNOTT AVE
ANEHEIM, CA 92804
Physical Therapy Assistant
141 S KNOTT AVE
ANAHEIM, CA 92804
Speech-Language Pathologist
141 S KNOTT AVE
ANAHEIM, CA 92804
Occupational Therapist
141 S KNOTT AVE
ANAHEIM, CA 92804

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jordan Boediarto's NPI number?

The NPI number for Jordan Boediarto is 1508473737. It was assigned to this individual provider in the NPPES registry on October 1, 2020.

Where is Jordan Boediarto located?

Jordan Boediarto practices at 141 S Knott Ave, Anaheim, CA 92804. The listed phone number is (714) 821-7310.

What is Jordan Boediarto's specialty?

The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.

When was this NPI record last updated?

The NPPES record for Jordan Boediarto was last updated on October 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.