Sunette Payne, OTRL
Individual provider Active NPI Occupational Therapist · Warm Springs, GA
NPI 1003019332 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1003019332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 002192 (GA)
- Practice address
- 6135 Roosevelt Hwy
Warm Springs, GA 31830 - Phone
- (706) 655-5636
- NPI assigned
- Jun 6, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Empowerme Rehabilitation Georgia, LLC
Practice addresses (Care Compare)
5610 Hampton Park Dr
Cumming, GA 30041-4004
Phone (470) 866-5540
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in GA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241031000431 | GA | Practitioner - Occupational Therapist in Private Practice | 4284167198 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Georgia, LLC | Occupational Therapist | Current |
Accepting new patients |
Locations
5610 Hampton Park Dr
Cumming, GA 30041
Phone (470) 866-5540
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 002192 | GA | Yes |
Addresses
Primary practice location
6135 Roosevelt Hwy
Warm Springs, GA 31830
Mailing address
1968 Hadley Rd
Pine Mountain, GA 31822-3237
Other providers in Warm Springs, GA
- Movewell Mobility LLC
- Sonal Sunil Nakrani
- Trina Nelson Ouzts
- Palmetto Health Council, Inc.
- Carson Givens Pass
- Cynthia Denise Perryman
- Michelle Razon Raguindin
- Emily Nicole Reffitt
- Kelly J Rice
- Rhett Anthony Roberson
All providers in Warm Springs, GA · Occupational Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.