Individual provider Active NPI

Angela O'Neill Sparks, OTD

  • Occupational Therapist
  • Dawsonville, GA
National Provider Identifier
1134293368
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT005505 Issued in GA
Practice address
27 Frost LN
Dawsonville, GA 30534-4349
Phone
(404) 436-0774
NPI assigned
Nov 20, 2006
Last updated
May 19, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT1721 MS
Occupational Therapist 225X00000X OT005505 GA Primary

Addresses

Primary practice location

27 Frost LN
Dawsonville, GA 30534-4349

Mailing address

27 Frost LN
Dawsonville, GA 30534-4349
Phone (404) 436-0774

Other names 1

  • Dr. Angela Kaye Sparks Former name

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
OT005505GAMDOccupational Therapist
OT1721MSMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Spark Path Therapy LLC CurrentSince May 25, 2025 Accepting new patients
Children's Therapy Services Occupational Therapist Past Accepting new patients

Locations

40 Grogan Dr
Ste 110
Dawsonville, GA 30534
Phone (770) 715-6562

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747612800000",
    "number": "1134293368",
    "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": "404-436-0774"
        },
        {
            "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": "404-436-0774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "ANGELA",
        "middle_name": "O'NEILL",
        "name_prefix": "Dr.",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-20",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MS",
            "license": "OT1721",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005505",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "SPARKS",
            "middle_name": "KAYE",
            "prefix": "DR.",
            "credential": "OTD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dawsonville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 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.