Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. JEREMY ETISOMBA OTR/L
NPI 1609379718
Occupational Therapist - Neurorehabilitation in Cincinnati, OH

Active since March 14, 2018
11440 ROSE LN, CINCINNATI, OH 45246(513) 667-6033 Get Directions Write a Review

NPPES record last updated: October 2, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

Record update history: Oct 2, 2026, Feb 6, 2025, Mar 14, 2018 (3 updates tracked since 2018).

About Dr. Jeremy Etisomba Otr/l NPPES

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

DR. JEREMY ETISOMBA OTR/L (NPI 1609379718) is an individual neurorehabilitation provider in Cincinnati, Ohio, licensed in Ohio (OT010001) and active in the NPI registry since March 2018.

NPPES Registry Identity

NPI1609379718
Entity TypeIndividualMale
Primary Taxonomy225XN1300X
Provider Legal NameDR. JEREMY ETISOMBACredential: OTR/L
Location Address11440 ROSE LNCincinnati, OH 45246-2922
Mailing Address11440 Rose LnCincinnati, OH 45246-2922 · (513) 667-6033
Sole ProprietorYes
Enumeration DateMarch 14, 2018
Last NPPES UpdateOctober 2, 20263 updates tracked since enumeration
NPPES CertifiedOctober 2, 2026
✔ NPI 1609379718 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational Therapist · NeurorehabilitationRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XN1300X
License✔ Licensed in OH · OT010001
11440 ROSE LN, Cincinnati, OH 45246

Other Providers at the Same Location NPPES

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

Occupational Therapist (Neurorehabilitation)
11440 ROSE LN
CINCINNATI, OH 45246

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 Jeremy Etisomba's NPI number?

The NPI number for Jeremy Etisomba is 1609379718. It was assigned to this individual provider in the NPPES registry on March 14, 2018.

Where is Jeremy Etisomba located?

Jeremy Etisomba practices at 11440 Rose Ln, Cincinnati, OH 45246. The listed phone number is (513) 667-6033.

What is Jeremy Etisomba's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Neurorehabilitation, with taxonomy code 225XN1300X.

When was this NPI record last updated?

The NPPES record for Jeremy Etisomba was last updated on October 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 days 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.