Active NPI
Tiara Racquel Jones, MS, OTR/L
- Occupational Therapist
- Martinez, GA
National Provider Identifier
1174126809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT007724
- Practice address
- 3580 River Watch Pkwy
Martinez, GA 30907-3682 - Phone
- (706) 364-3470
- Fax
- (706) 496-7789
- NPI assigned
- Nov 17, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Occupational Therapist | 225X00000X | PT006331 | GA | |
| Occupational Therapist | 225X00000X | OT007724 | GA | Primary |
Addresses
Primary practice location
3580 River Watch Pkwy
Martinez, GA 30907-3682
Mailing address
3580 River Watch Pkwy
Martinez, GA 30907-3682
Phone (706) 364-3470
Other practice location 1
724 Greene St # 2
Augusta, GA 30901-2359
Phone (706) 722-2096
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT007724 | GA | MD | Occupational Therapist |
| PT006331 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sensational Kids Pediatric Rehabilitation & Counseling, Inc. | Current | Accepting new patients | |
| Fox Rehabilitation Services of South Carolina, LLC | Occupational Therapist | Current | Accepting new patients |
| Fox Rehabilitation Ga, LLC | Occupational Therapist | Current | Accepting new patients |
| Multidisciplinary Therapy | Past | Accepting new patients |
Locations
3580 River Watch Pkwy
Martinez, GA 30907
Phone (706) 364-3470
7 Carnegie Plz
Cherry Hill, NJ 08003
Organizations & group practices 4
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.
-
- Physical Therapist
- Lexington, SC
- NPI 1902133689
Occupational Therapist
-
- Clinic/Center
- Martinez, GA
- NPI 1962676502
-
- Behavior Analyst
- Columbia, SC
- NPI 1386408490
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605571200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628208000000",
"number": "1174126809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3580 RIVER WATCH PKWY",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309073682",
"telephone_number": "706-364-3470",
"fax_number": "706-496-7789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3580 RIVER WATCH PKWY",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309073682",
"telephone_number": "706-364-3470",
"fax_number": "706-496-7789"
}
],
"practiceLocations": [
{
"address_1": "724 Greene St # 2",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309012359",
"country_code": "US",
"telephone_number": "706-722-2096",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "TIARA",
"middle_name": "RACQUEL",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-17",
"last_updated": "2021-08-06",
"certification_date": "2021-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "PT006331",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT007724",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinez, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.