MEDICARE: METTA PEDIATRIC THERAPY LLC

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
1	225XP0200X	Pediatric Occupational Therapist

General Provider Information

NPI Number	:	1851221642
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METTA PEDIATRIC THERAPY LLC

Provider Business Mailing Address
First Line	:	330 SANCTUARY DR
Second Line	:
City	:	CORTLAND
State	:	OH
Zip	:	44410-8816
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	330 SANCTUARY DR
Second Line	:
City	:	CORTLAND
State	:	OH
Zip	:	44410-8816
Country	:	US
Telephone Number	:	330-219-3179
Fax Number	:

Authorized Official
Title or Position	:	OWNER/OCCUPATIONAL THERAPIST
Name	:	JASMIN PHILLIPS
Credential	:	MOT, OTR/L
Telephone Number	:	330-219-3179

Provider Enumeration Date	:	05/22/2026
Last Update Date	:	05/22/2026

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Directions to “METTA PEDIATRIC THERAPY LLC ” Practice Location

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