Jordan Boediarto, COTA/L
NPI 1508473737 · Occupational Therapy Assistant · Anaheim, CA
Jordan Boediarto, COTA/L is a Occupational Therapy Assistant provider in Anaheim, CA (NPI 1508473737).
Provider details
- NPI number
- 1508473737
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2553 (CA)
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
5 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
Mailing address
Registry dates
- Enumerated
- 2020-10-01
- Last updated
- 2020-10-01
- Certified
- 2020-10-01
Frequently asked questions
- What is Jordan Boediarto's NPI number?
- Jordan Boediarto's National Provider Identifier (NPI) is 1508473737, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jordan Boediarto's specialty?
- Jordan Boediarto is listed in the NPPES registry with a primary specialty of Occupational Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jordan Boediarto located?
- Jordan Boediarto's practice location on file with NPPES is 141 S Knott Ave, Anaheim, CA 92804-1458.
- What is Jordan Boediarto's phone number?
- The practice phone number listed in the NPPES registry for Jordan Boediarto is (714) 821-7310.
- Is Jordan Boediarto's NPI active?
- Yes — Jordan Boediarto's NPI (1508473737) is active in the NPPES registry as of the last update on 2020-10-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.