Active NPI
Yuridia Garza, OT
- Pediatric Occupational Therapist
- Gainesville, GA
National Provider Identifier
1295893535
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT003657
- Practice address
- 500 Spring St SE Ste 101
Gainesville, GA 30501-3773 - Phone
- (770) 615-7676
- Fax
- (770) 615-0177
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT003657 | GA | Primary |
Addresses
Primary practice location
500 Spring St SE Ste 101
Gainesville, GA 30501-3773
Mailing address
500 Spring St SE Ste 101
Gainesville, GA 30501-3773
Phone (770) 615-7676
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 141263118A | Medicaid | GA |
Other names 1
- Miss Yuridia Garza
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT003657 | GA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lifting Spirits Therapy Services, Inc | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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 Occupational Therapist
- Gainesville, GA
- NPI 1083891907
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490832000000",
"number": "1295893535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 SPRING ST SE STE 101",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013773",
"telephone_number": "770-615-7676",
"fax_number": "770-615-0177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 SPRING ST SE STE 101",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013773",
"telephone_number": "770-615-7676",
"fax_number": "770-615-0177"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GARZA",
"first_name": "YURIDIA",
"name_prefix": "Miss",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2017-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "GA",
"license": "OT003657",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "141263118A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "YURIDIA",
"last_name": "GARZA",
"prefix": "MISS",
"credential": "OT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Gainesville, GA
- Paul H Garlich, M.D.
- Leslie I Garner, CRNA
- Alma Garrett, N.P.
- William Chad Garrett, PMHNP-BC
- Gregory Nathan Garton, AGACNP
- Wesley Robert Gass, D.M.D., M.S.
- Gastro Health for Kids Incorporated
- Gastroenterology Anesthesia Associates, LLC
- Gastroenterology Associates of Gainesville, P. C.
- Gastroenterology Associates of Gainesville, P. C.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.