Eliza Henner Sparks, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT007149 Issued in GA

Practice address

1456 McLendon Dr Ste B
Decatur, GA 30033-1848

Phone

(404) 728-9766

NPI assigned

Oct 22, 2018

Sex

Female

Sole proprietor

No

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

Practice roles

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

• Associated Therapies, Inc

  • Early Intervention Provider Agency
  • Decatur, GA
  • NPI 1972772143
  NPD (past)

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

{
    "created_epoch": "1540166400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1144796723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N CARTER RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300304703",
            "telephone_number": "678-315-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 MCLENDON DR STE B",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300331848",
            "telephone_number": "404-728-9766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPARKS",
        "first_name": "ELIZA",
        "middle_name": "HENNER",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-22",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Racheal Sowole
• Lashandra Span, PT
• Andre' Spann
• Lorlita Spann, LCSW-A
• Davine S. Sparks, PH.D., LCSW
• Speak Wonders
• Lance Speaks
• Senya Speaks
• Spectrum Community Care LLC
• Spectrum Health Services

• Occupational Therapist in Decatur, GA
• Providers in Decatur, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 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.