NPI age
14 years
Enumerated 2012-04-16
● Active
Type 1 · Individual
MR. Jacob Terry Boudreaux, COTA
Boudreaux is 1 of 11 occupational therapy assistant providers in Lufkin and 1 of 4246 in Texas.
Primary specialty
Occupational Therapy Assistant
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-04-16
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 4246 active occupational therapy assistant providers in Texas.
NPI age
14 years
↑ 7 yr above median (7 yr)
State licenses
1 state
2% of peers hold multiple states
Subspecialties
0
4% of peers hold subspecialties
NPI lifetime · 2012 → 2026
2012-04Enumerated in NPPES
2012
2026
Where they practice
Practice location
402 S John Redditt Dr
Lufkin, TX 759043108
Mailing address
402 S John Redditt Dr
Lufkin, TX 759043108
Specialties
-
Occupational Therapy Assistant PrimaryAn occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 (TX) | 211458 | LICENSE |
Practice context
Part of a multi-provider practice. 23 other active providers share this practice address in NPPES.
Recently enumerated nearby: 1 new occupational therapy assistant provider has been added in Lufkin in the last 180 days.
See all →
Provyx · Custom healthcare lists
Need all 4246 Occupational Therapy Assistant providers in Texas?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →How to verify this provider
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.