Mary Kristen Elena Dowdy, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA001258 Issued in GA

Practice address

815 Legion Dr
Eastman, GA 31023-6782

Phone

(478) 374-5571

NPI assigned

Jun 5, 2023

Last updated

Jun 5, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1114611159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1883 MACK BREWER RD",
            "city": "CADWELL",
            "state": "GA",
            "postal_code": "310093012",
            "telephone_number": "478-308-9291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 LEGION DR",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310236782",
            "telephone_number": "478-374-5571"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWDY",
        "first_name": "MARY KRISTEN",
        "middle_name": "ELENA",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA001258",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dodge County Hospital Authority (Ocmulgee Family Medicine)
• Dodge County Hospital Authority (Dodge County Hospital)
• Dodge Emergency Group LLC
• Dodge Immediate Health
• Donald a. Selph Jr.MD PC
• Virginia Ann Dupraw, FNP
• East Georgia Medical
• Eastman Chiropractic Center
• Eastman Dental Associates
• Eastman Drugs, Inc.

• Occupational Therapy Assistant in Eastman, GA
• Providers in Eastman, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.

Verify at the official NPI Registry.