Alexa E Yamasta, OTD/OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT008638 Issued in GA

Practice address

1291 S Houston Lake Rd Ste G
Warner Robins, GA 31088-2745

Phone

(478) 333-2999

Fax

(478) 900-1100

NPI assigned

Oct 5, 2022

Last updated

Jun 5, 2025By the provider in NPPES

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Impact Therapy of Georgia

  dba Impact Therapy

  • Speech-Language Pathologist
  • Warner Robins, GA
  • NPI 1013360601

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1664928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749081600000",
    "number": "1245955947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1291 S HOUSTON LAKE RD STE G",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882745",
            "telephone_number": "478-333-2999",
            "fax_number": "478-900-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1291 S HOUSTON LAKE RD STE G",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "310882745",
            "telephone_number": "478-333-2999",
            "fax_number": "478-900-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YAMASTA",
        "first_name": "ALEXA",
        "middle_name": "E",
        "credential": "OTD/OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-05",
        "last_updated": "2025-06-05",
        "certification_date": "2025-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brittany Milana Wynn
• X & J Transportation LLC
• Henry Xu, OD
• Xijing Xu, O.D.
• Taylor Yack
• Xiaoyun Yang, M.D., PH.D.
• Zaneb Yaseen, MD
• Joann Yates
• Daniel Z Ymesghen
• Kathleen Alquisola Yngayo, APRN

• Occupational Therapist in Warner Robins, GA
• Providers in Warner Robins, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2025; 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.