Individual provider Active NPI

Anna Weatherford

  • Occupational Therapist
  • Gainesville, GA
National Provider Identifier
1053723692
Registry record updated Aug 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT005907 Issued in GA
Practice address
7985 Knight Rd
Gainesville, GA 30506-6427
Phone
(770) 781-4899
NPI assigned
Jun 2, 2014
Last updated
Aug 23, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT005907 GA Primary

Addresses

Primary practice location

7985 Knight Rd
Gainesville, GA 30506-6427

Mailing address

7985 Knight Rd
Gainesville, GA 30506-6427
Phone (770) 781-4899

Other practice location 1

1389 Weber Industrial Dr
Cumming, GA 30041
Phone (770) 886-6204

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT005907GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Walker Therapy Services Occupational Therapist CurrentSince Aug 28, 2022 Accepting new patients
Finding Faith Inc Occupational Therapist Past Accepting new patients
Building Bridges Therapy Inc Occupational Therapist Past Accepting new patients

Locations

7985 Knight Rd
#B
Gainesville, GA 30506
Phone (770) 781-4899

7985 Knight Rd
Gainesville, GA 30506
Phone (678) 467-7264

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661212800000",
    "number": "1053723692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7985 KNIGHT RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305066427",
            "telephone_number": "770-781-4899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7985 KNIGHT RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305066427",
            "telephone_number": "770-781-4899"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1389 Weber Industrial Dr",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "30041",
            "country_code": "US",
            "telephone_number": "770-886-6204",
            "fax_number": "678-261-6421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEATHERFORD",
        "first_name": "ANNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-02",
        "last_updated": "2022-08-23",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.