Individual provider Active NPI

Mariah Robbins, OTR/L

  • Occupational Therapist
  • Augusta, GA
National Provider Identifier
1134539083
Registry record updated Aug 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT005909 Issued in GA
Practice address
3540 Wheeler Rd Ste 508
Augusta, GA 30909
Phone
(706) 364-3507
Fax
(706) 364-3506
NPI assigned
Apr 30, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 9, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT005909 GA Primary

Addresses

Primary practice location

3540 Wheeler Rd Ste 508
Augusta, GA 30909

Mailing address

3540 Wheeler Rd Ste 508
Augusta, GA 30909-1890
Phone (706) 364-3507

Other practice location 1

3909 Greenbrier Rd
Thomson, GA 30824-4423
Phone (706) 564-9228

Other identifiers 1

IdentifierTypeStateIssuer
14278248OtherCAQH

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT005909GAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1398816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533772800000",
    "number": "1134539083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3540 WHEELER RD STE 508",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309091890",
            "telephone_number": "706-364-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 WHEELER RD STE 508",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30909",
            "telephone_number": "706-364-3507",
            "fax_number": "706-364-3506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3909 Greenbrier Rd",
            "address_purpose": "LOCATION",
            "city": "Thomson",
            "state": "GA",
            "postal_code": "308244423",
            "country_code": "US",
            "telephone_number": "706-564-9228",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ROBBINS",
        "first_name": "MARIAH",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-30",
        "last_updated": "2018-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005909",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "14278248",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2018; 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.