Individual provider Active NPI

Natalie Chavez-Dang, OT

  • Occupational Therapist
  • Newnan, GA
National Provider Identifier
1073073383
Registry record updated May 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT008048 Issued in GA
Practice address
40 Greenway CT Ste B&C
Newnan, GA 30265-2326
Phone
(770) 502-0195
NPI assigned
Mar 22, 2019
Last updated
May 27, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT008048 GA Primary
Occupational Therapist 225X00000X OT19818 CA

Addresses

Primary practice location

40 Greenway CT Ste B&C
Newnan, GA 30265-2326

Mailing address

150 Hampton Woods Dr
Fayetteville, GA 30215-2427

Other practice location 1

41555 Cook St Ste 100
Palm Desert, CA 92211-5184
Phone (760) 837-0033

Other identifiers 1

IdentifierTypeStateIssuer
1124434261OtherCACOMPANY NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220307000541 GA Practitioner - Occupational Therapist in Private Practice 4486048527 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT19818CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta South Physical Therapy, Inc CurrentSince Mar 1, 2022 Accepting new patients
Drayer Physical Therapy Georgia LLC Occupational Therapist CurrentSince Mar 1, 2022 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Mar 1, 2022 Accepting new patients
Independent Physical Therapy of Georgia, LLC Occupational Therapist CurrentSince Mar 1, 2022 Accepting new patients
Independent Physical Therapy of Georgia, LLC Occupational Therapist CurrentSince Mar 1, 2022 Accepting new patients
Easy Speech Pathology, Inc. PastSince Oct 15, 2015 Accepting new patients
Easy Speech Therapy Center Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001

1275 Highway 54 W
Ste 200
Fayetteville, GA 30214
Phone (770) 460-8609

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

3455 Highway 81
Loganville, GA 30052
Phone (678) 635-8280

62 Carriage Oaks Dr
Tyrone, GA 30290
Phone (770) 969-7166

6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923

Organizations & group practices 7

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": "1553212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779840000000",
    "number": "1073073383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HAMPTON WOODS DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 GREENWAY CT STE B&C",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652326",
            "telephone_number": "770-502-0195"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41555 Cook St Ste 100",
            "address_purpose": "LOCATION",
            "city": "Palm Desert",
            "state": "CA",
            "postal_code": "922115184",
            "country_code": "US",
            "telephone_number": "760-837-0033",
            "fax_number": "760-837-1013",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAVEZ-DANG",
        "first_name": "NATALIE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-22",
        "last_updated": "2026-05-27",
        "certification_date": "2026-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008048",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT19818",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMPANY NPI",
            "identifier": "1124434261",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2026; 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.