Active NPI
Alisha E Baxter, MS, OTR/L
- Pediatric Occupational Therapist
- Acworth, GA
National Provider Identifier
1104286939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT006416
- Practice address
- 4445 Grove Dr NW
Acworth, GA 30101-6397 - Phone
- (404) 434-8354
- Fax
- (888) 865-4646
- NPI assigned
- Mar 7, 2016
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT006416 | GA | Primary |
Addresses
Primary practice location
4445 Grove Dr NW
Acworth, GA 30101-6397
Mailing address
4445 Grove Dr NW
Acworth, GA 30101-6397
Phone (404) 434-8354
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT006416 | GA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hearts and Hands Therapy Services, Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pediatric Occupational Therapist
- Woodstock, GA
- NPI 1831410943
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1457308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1104286939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4445 GROVE DR NW",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301016397",
"telephone_number": "404-434-8354",
"fax_number": "888-865-4646"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 GROVE DR NW",
"city": "ACWORTH",
"state": "GA",
"postal_code": "301016397",
"telephone_number": "404-434-8354",
"fax_number": "888-865-4646"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAXTER",
"first_name": "ALISHA",
"middle_name": "E",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-03-07",
"last_updated": "2023-01-26",
"certification_date": "2023-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "GA",
"license": "OT006416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Acworth, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.