Amita Agarwal, OTR,CHT
Individual provider Active NPI Occupational Therapist · Fayetteville, GA
NPI 1124295357 · NPPES record last updated Jan 17, 2014
Key facts
- NPI
- 1124295357
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT005799 (GA)
- Practice address
- 1336 Highway 54 W
Fayetteville, GA 30214-4535 - Phone
- (770) 461-6142
- Fax
- (770) 461-6610
- NPI assigned
- May 16, 2008
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3916 | WI | MD | Professional Counselor |
| OT005799 | GA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3916 | WI | |
| Occupational Therapist | 225X00000X | OT005799 | GA | Yes |
Addresses
Primary practice location
1336 Highway 54 W
Fayetteville, GA 30214-4535
Mailing address
1336 Highway 54 W
Fayetteville, GA 30214-4535
Phone (770) 461-6142
Other providers in Fayetteville, GA
- Advanced Physical Therapy of Fayette
- Advanced Physical Therapy of Fayette, LLC
- Affinity Healthcare LLC
- Agape Speech Therapy, LLC
- Agape Sports Performance Wellness and Rehab
- Sandra I Agazie
- Fatimat Olumayowa Olufunmilayo Agbojeyin
- Chanda Agee
- Ali Ahmad
- Taiwo Aigberua
All providers in Fayetteville, GA · Occupational Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.