Individual provider Active NPI

Aaminah Ishmael

  • Occupational Therapist
  • Augusta, GA
National Provider Identifier
1083370654
Registry record updated Nov 9, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT008279 Issued in GA
Practice address
254 Robert C Daniel Jr Pkwy Ste 4
Augusta, GA 30909-0812
Phone
(706) 723-5795
NPI assigned
Nov 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2021

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 OT008279 GA Primary

Addresses

Primary practice location

254 Robert C Daniel Jr Pkwy Ste 4
Augusta, GA 30909-0812

Mailing address

6397 Lee Hwy
Chattanooga, TN 37421-2564

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211122000638 GA Practitioner - Occupational Therapist in Private Practice 4880083484 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT008279GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Physical Therapy of Georgia, LLC Occupational Therapist CurrentSince Nov 8, 2021 Accepting new patients
Drayer Physical Therapy Georgia LLC Occupational Therapist CurrentSince Nov 8, 2021 Accepting new patients
Atlanta South Physical Therapy, Inc CurrentSince Nov 8, 2021 Accepting new patients
Independent Physical Therapy of Georgia, LLC Occupational Therapist CurrentSince Nov 8, 2021 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Nov 8, 2021 Accepting new patients
Gifted Integrative Speech Therapy Occupational Therapist Past Accepting new patients
Independent Physical Therapy of Ga LLC Occupational Therapist PastSince Nov 16, 2021 Accepting new patients

Locations

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

254 Robert C Daniel Jr Pkwy
Ste 4B
Augusta, GA 30909
Phone (706) 723-5795

254 Robert C Daniel Jr Pkwy
Ste 4
Augusta, GA 30909
Phone (706) 723-5795

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

1820 Highway 20 SE
Ste 160
Conyers, GA 30013
Phone (770) 922-9222

7201 Turner Lake Rd NW
Ste 13
Covington, GA 30014
Phone (470) 444-1609

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

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

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1636416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636416000000",
    "number": "1083370654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374212564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 ROBERT C DANIEL JR PKWY STE 4",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309090812",
            "telephone_number": "706-723-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISHMAEL",
        "first_name": "AAMINAH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-09",
        "last_updated": "2021-11-09",
        "certification_date": "2021-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2021; 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.