Active NPI
Ta Niesha Toler
- Occupational Therapist
- Dacula, GA
National Provider Identifier
1265204754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 2089 Teron Trce Ste 120
Dacula, GA 30019 - Phone
- (577) 157-1519
- NPI assigned
- Oct 27, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | GA | Primary |
Addresses
Primary practice location
2089 Teron Trce Ste 120
Dacula, GA 30019
Mailing address
2089 Teron Trce
Dacula, GA 30019-1609
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tender Ones Therapy Services, Inc. | Current | Accepting new patients | |
| Central Florida Dreamplex LLC | Current | Accepting new patients |
Locations
2400 S US Highway 27
Ste B201
Clermont, FL 34711
Phone (352) 606-0000
2400 S Highway 27
Ste B2
Clermont, FL 34711
5165 Adanson St
Orlando, FL 32804
Phone (407) 303-7600
2089 Teron Trce
Ste 120
Dacula, GA 30019
Phone (770) 904-2357
Organizations & group practices 2
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.
-
- Pediatric Physical Therapist
- Clermont, FL
- NPI 1215017512
-
- Pediatric Physical Therapist
- Dacula, GA
- NPI 1063667970
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1698364800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698364800000",
"number": "1265204754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2089 TERON TRCE",
"city": "DACULA",
"state": "GA",
"postal_code": "300191609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2089 TERON TRCE STE 120",
"city": "DACULA",
"state": "GA",
"postal_code": "30019",
"telephone_number": "577-157-1519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TOLER",
"first_name": "TA NIESHA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-27",
"last_updated": "2023-10-27",
"certification_date": "2023-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dacula, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2023; 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.