Individual provider Active NPI

Angela Genette Hardy-Jones, COTA/L

  • Occupational Therapy Assistant
  • Hiawassee, GA
National Provider Identifier
1104588045
Registry record updated Oct 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA002582 Issued in GA
Practice address
386 Belaire Dr
Hiawassee, GA 30546-3313
Phone
(706) 896-2231
NPI assigned
Oct 7, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA002582 GA Primary

Addresses

Primary practice location

386 Belaire Dr
Hiawassee, GA 30546-3313

Mailing address

120 W Vineyard Rd
Hayesville, NC 28904-5336
Phone (828) 360-2483

Other practice location 1

164 Nursing Home Cir
Blairsville, GA 30512-3117
Phone (706) 745-4948

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
OTA002582GAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1633564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633564800000",
    "number": "1104588045",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 W VINEYARD RD",
            "city": "HAYESVILLE",
            "state": "NC",
            "postal_code": "289045336",
            "telephone_number": "828-360-2483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 BELAIRE DR",
            "city": "HIAWASSEE",
            "state": "GA",
            "postal_code": "305463313",
            "telephone_number": "706-896-2231"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "164 Nursing Home Cir",
            "address_purpose": "LOCATION",
            "city": "Blairsville",
            "state": "GA",
            "postal_code": "305123117",
            "country_code": "US",
            "telephone_number": "706-745-4948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARDY-JONES",
        "first_name": "ANGELA",
        "middle_name": "GENETTE",
        "name_prefix": "Prof.",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-07",
        "last_updated": "2021-10-07",
        "certification_date": "2021-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA002582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hiawassee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2021; 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.