Spark Path Therapy LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

SPARK PATH THERAPY LLC

Practice address

27 Frost LN
Dawsonville, GA 30534-4349

Phone

(770) 618-9200

Fax

(770) 618-9300

NPI assigned

Nov 25, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Angela O Sparks, OTD, OTR/LNPI 1134293368

Title

Owner

Phone

(770) 618-9200

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Angela O'Neill Sparks, OTD

  • Occupational Therapist
  • Dawsonville, GA
  • NPI 1134293368
  NPD Authorized official

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

{
    "created_epoch": "1606262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747008000000",
    "number": "1124622568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 FROST LN",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305344349",
            "telephone_number": "770-618-9200",
            "fax_number": "770-618-9300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 FROST LN",
            "city": "DAWSONVILLE",
            "state": "GA",
            "postal_code": "305344349",
            "telephone_number": "770-618-9200",
            "fax_number": "770-618-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARK PATH THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-25",
        "last_updated": "2025-05-12",
        "certification_date": "2025-05-12",
        "status": "A",
        "authorized_official_last_name": "SPARKS",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-618-9200",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "asparks@sparkpath1.com",
            "affiliation": "N",
            "endpointDescription": "Admin Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "27 Frost Ln",
            "city": "Dawsonville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305344349",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jerry Smith
• Melissa Smith
• Dawn Sosebee, FNP
• Kristen Souther, MSN, RN CPNP-PC
• Southern Orthotics, Inc.
• Angela O'Neill Sparks, OTD
• Specialty Orthopaedics, PC
• Tony Michael Stanley Jr., D.M.D
• Stanton Optical
• Joseph M Stapp, MA, LPC, NCC

• Pediatric Occupational Therapist in Dawsonville, GA
• Providers in Dawsonville, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2025; 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.