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NPI Code Detail

MEDICARE: JADYN KOSS OTD

MEDICARE: JADYN KOSS OTD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational Therapist0119011343VA

General Provider Information

NPI Number : 1679449417
Entity Type Code : Individual
Provider Name (Legal Business Name) : JADYN KOSS OTD
Provider Business Mailing Address
First Line : 7915 JONES BRANCH DR APT 517
Second Line :
City : TYSONS
State : VA
Zip : 22102-3252
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4620 CHERRY HILL RD STE 217
Second Line :
City : ARLINGTON
State : VA
Zip : 22207-3400
Country : US
Telephone Number : 703-243-4600
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2025
Last Update Date : 06/01/2026

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