Active NPI
Angela Genette Hardy-Jones, COTA/L
- Occupational Therapy Assistant
- Hiawassee, GA
National Provider Identifier
1104588045
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA002582
- 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
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 |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| OTA002582 | GA | MD | Occupational 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.