Healthcare Provider Details

I. General information

NPI: 1205291358
Provider Name (Legal Business Name): JESSICA ELLEN KOZAR OT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JESSICA ELLEN ZEFF OT

II. Dates (important events)

Enumeration Date: 12/16/2015
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

483 FRYE FARM RD
GREENSBURG PA
15601-6480
US

IV. Provider business mailing address

483 FRYE FARM RD
GREENSBURG PA
15601-6480
US

V. Phone/Fax

Practice location:
  • Phone: 724-804-5621
  • Fax: 412-804-5615
Mailing address:
  • Phone: 724-804-5621
  • Fax: 412-804-5615

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC014032
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: