Zoe Madison Irvin, OTR/L
Individual provider Active NPI Occupational Therapist · Eatonton, GA
NPI 1245919646 · NPPES record last updated Jul 13, 2023
Key facts
- NPI
- 1245919646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT008897 (GA)
- Practice address
- 601 Glenwood Springs Rd
Eatonton, GA 31024-6623 - Phone
- (404) 938-5736
- NPI assigned
- Jul 13, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT008897 | GA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT008897 | GA | Yes |
Addresses
Primary practice location
601 Glenwood Springs Rd
Eatonton, GA 31024-6623
Mailing address
601 Glenwood Springs Rd
Eatonton, GA 31024-6623
Phone (404) 938-5736
Other providers in Eatonton, GA
- Diana Cafaro Homeier
- Hormone and Diabetic Infusion Center
- Ronald Huet
- Valerie Hurt
- Cassandra Lynn Hyde
- Kene James
- Jigsaw Healthcare, LLC
- Mahagony Johnson
- Susan Leigh Jones
- Journey to Joy & Discovery Counseling
All providers in Eatonton, GA · Occupational Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.