Individual provider · Type 1 NPI

Allyson Revilla-Jackson, COTA

Occupational Therapy Assistant · Pinehurst, TX

NPI number 1801718408 Active

Practice location

32011 Sue Ln
Pinehurst, TX 77362-4083

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapy Assistant Primary 224Z00000X219247 (TX)

Occupational Therapy Assistant: 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 examinatio…

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About NPI 1801718408

Allyson Revilla-Jackson, COTA's National Provider Identifier is 1801718408, issued on Jul 27, 2026. The primary taxonomy on file is Occupational Therapy Assistant (224Z00000X), and the practice location is in Pinehurst, TX. The record was last updated on Jul 27, 2026.