Ma Katherine C Fernandez, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT04545 Issued in GA

Practice address

1013 Riverburch Pkwy
Suite 4
Dalton, GA 30721-8887

Phone

(866) 261-8090

Fax

(706) 226-7869

NPI assigned

Sep 10, 2009

Last updated

Mar 5, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• The Weston Group Inc.

  dba The Weston Health Care Group Inc

  • Physical Therapist
  • Acworth, GA
  • NPI 1841309101

  Occupational Therapist

  Medicare reassignment NPD
• The Weston Group Inc.

  • Physical Therapist
  • Easton, PA
  • NPI 1750250759
  NPD
• Integra Rehabilitation Agency, LLC

  dba Integra Rehab Agency

  • Rehabilitation Clinic/Center
  • Dalton, GA
  • NPI 1053414177
  NPD (past)
• Middle Georgia Family Rehab

  • Health Maintenance Organization
  • Byron, GA
  • NPI 1366844367
  NPD (past)

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709596800000",
    "number": "1194058982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "834 HEATHERBROOKE LN",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312109702",
            "telephone_number": "785-380-3284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1013 RIVERBURCH PKWY",
            "address_2": "SUITE 4",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307218887",
            "telephone_number": "866-261-8090",
            "fax_number": "706-226-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERNANDEZ",
        "first_name": "MA KATHERINE",
        "middle_name": "C",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT04545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Anne Fauscette
• Chandra Denise Fears, LCSW
• Glennys Soraya Febles, ICADC-II
• Michael Fereday
• Victor Fernandez Ortiz
• Carolina Mitchell Ferrino Gutierrez, M.D.
• Mark Alan Finley Jr., PA
• Tyler Glynn Fisher, OD
• David Fishman, M.D.
• Caroline Fletcher Hedrick, FNP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2024; 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.

Verify at the official NPI Registry.