Provider Demographics
NPI:1396534947
Name:HOUSTON, JORDAN ELIZABETH (OTR)
Entity type:Individual
Prefix:MISS
First Name:JORDAN
Middle Name:ELIZABETH
Last Name:HOUSTON
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 MADDIE WAY
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02019-3109
Mailing Address - Country:US
Mailing Address - Phone:774-571-4550
Mailing Address - Fax:
Practice Address - Street 1:10 RHODES AVE
Practice Address - Street 2:
Practice Address - City:NORTH SMITHFIELD
Practice Address - State:RI
Practice Address - Zip Code:02896-6987
Practice Address - Country:US
Practice Address - Phone:401-767-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-01
Last Update Date:2025-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIOT02362225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist