Oconee Rehabilitation Services Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

OCONEE REHABILITATION SERVICES INC

Practice address

446 Spring Street
Sparta, GA 31087

Phone

(706) 444-9200

Fax

(706) 444-9201

NPI assigned

Oct 12, 2006

Last updated

Jun 18, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donna Andrews Benton, PTNPI 1649439407

Title

President

Phone

(706) 444-9200

Specialties & licenses 5

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donna Andrews Benton, PT

  • Physical Therapist
  • Sparta, GA
  • NPI 1649439407
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213747200000",
    "number": "1053401190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 454",
            "city": "SPARTA",
            "state": "GA",
            "postal_code": "31087",
            "telephone_number": "706-444-9200",
            "fax_number": "706-444-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "446 SPRING STREET",
            "city": "SPARTA",
            "state": "GA",
            "postal_code": "31087",
            "telephone_number": "706-444-9200",
            "fax_number": "706-444-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCONEE REHABILITATION SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2008-06-18",
        "status": "A",
        "authorized_official_last_name": "BENTON",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "ANDREWS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "706-444-9200",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000325212B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "116562",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tarneshia S Maddox
• Medical College of Georgia
• O Akhras MD PC
• Oconee Community Service Board
• Oconee Rehabilitation Consultants and Independent Services
• Timothy Perry, PH.D
• Alexia Sanyeal Poole, RBT
• Susan Pound
• Sheila Dixon Reynolds, O
• River Edge Behavioral Health Center

• Physical Therapist in Sparta, GA
• Providers in Sparta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.