Otavia Jack
NPI 1104389634 · Occupational Therapy Assistant · Kissimmee, FL
Otavia Jack is a Occupational Therapy Assistant provider in Kissimmee, FL (NPI 1104389634).
Provider details
- NPI number
- 1104389634
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-04-11
- Last updated
- 2019-04-11
Frequently asked questions
- What is Otavia Jack's NPI number?
- Otavia Jack's National Provider Identifier (NPI) is 1104389634, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Otavia Jack's specialty?
- Otavia Jack is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Otavia Jack located?
- Otavia Jack's practice location on file with NPPES is 311 Salmon Ct, Kissimmee, FL 34759-4724.
- What is Otavia Jack's phone number?
- The practice phone number listed in the NPPES registry for Otavia Jack is (321) 614-7538.
- Is Otavia Jack's NPI active?
- Yes — Otavia Jack's NPI (1104389634) is active in the NPPES registry as of the last update on 2019-04-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.