IndividualActive
Jonathan White, COTA
NPI 1225374366 · Occupational Therapy Assistant · South Holland, IL
Provider details
- NPI number
- 1225374366
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Male
- Sole proprietor
- No
- License
- 057003706 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% 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
751 E 163rd Pl
South Holland, IL 60473-2306
Phone: (708) 439-0654
Street-level locationGet directions
Mailing address
751 East 163rd Place
South Holland, IL 60473
Registry dates
- Enumerated
- 2012-12-18
- Last updated
- 2012-12-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.