Shavonna S Warthen, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

004221 Issued in GA

Practice address

2514 Harbin Village CT
Morrow, GA 30260-2023

Phone

(404) 394-9947

NPI assigned

Feb 19, 2021

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1613692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1265025274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2514 HARBIN VILLAGE CT",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602023",
            "telephone_number": "404-394-9947"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2514 HARBIN VILLAGE CT",
            "city": "MORROW",
            "state": "GA",
            "postal_code": "302602023",
            "telephone_number": "404-394-9947"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WARTHEN",
        "first_name": "SHAVONNA",
        "middle_name": "S",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-02-19",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "004221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bao Ngoc Thi Vu, NP
• Asutosh Vyas, M.D.
• Wal-Mart Stores East LP
• Wal-Mart Stores East, LP.
• Christopher J. Walsh, M.D.
• Patrick Washington, N.P.-C
• Raynell Watkins, RPH
• We Care Medical Supply Co., Inc.
• Larry L. Webb, D.M.D.
• Ronald S Weber, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; 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.