Healthcare Provider Details

I. General information

NPI: 1336006857
Provider Name (Legal Business Name): JAYLA JONES OTD, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/07/2026
Last Update Date: 01/07/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

930 N FERDON BLVD
CRESTVIEW FL
32536-1706
US

IV. Provider business mailing address

930 N FERDON BLVD
CRESTVIEW FL
32536-1706
US

V. Phone/Fax

Practice location:
  • Phone: 850-331-2987
  • Fax: 850-373-4841
Mailing address:
  • Phone: 850-331-2987
  • Fax: 850-373-4841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT26769
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: