Carey Elisabeth Amos Sweat, OTR/L

Individual provider Active NPI Occupational Therapist · Cumming, GA

NPI 1104166008 · NPPES record last updated Nov 20, 2023

Key facts

NPI
1104166008
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT005616 (GA)
Practice address
2300 Bethelview Rd Ste 110-450
Cumming, GA 30040-9475
Phone
(678) 567-6692
Fax
(678) 619-1879
NPI assigned
Mar 1, 2013
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20181026000367 GA Practitioner - Occupational Therapist in Private Practice 1658624358

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
OT005616GAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT005616 GA Yes

Addresses

Primary practice location

2300 Bethelview Rd Ste 110-450
Cumming, GA 30040-9475

Mailing address

2300 Bethelview Rd Ste 110-450
Cumming, GA 30040-9475
Phone (678) 567-6692

Other providers in Cumming, GA

All providers in Cumming, GA · Occupational Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.