IndividualActive
Jessica Black, COTA
NPI 1760046973 · Occupational Therapy Assistant · Titusville, FL
Provider details
- NPI number
- 1760046973
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- 0TA14422 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(66/100 index)
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
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
1705 Jess Parrish Ct
Titusville, FL 32796-2158
Phone: (321) 269-5720
Street-level locationGet directions
Mailing address
1691 Henley Rd Nw
Palm Bay, FL 32907-6328
Registry dates
- Enumerated
- 2019-04-24
- Last updated
- 2019-04-24
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.