Worksafe, PC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT002264 Issued in GA

Legal business name

WORKSAFE, PC

Doing business as

Therapy Source

Practice address

1367 Sydneys Pass
Watkinsville, GA 30677-8393

Phone

(770) 725-9186

Fax

(603) 843-2144

NPI assigned

Oct 21, 2009

Last updated

Nov 30, 2010By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Hulet Smith Jr., OTR/LNPI 1609941913

Title

Owner/Occupational Therapist

Phone

(770) 725-9186

Specialties & licenses 2

Addresses

Other identifiers 3

Other names 1

• Therapy Source Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Hulet Smith Jr., O.T.

  • Occupational Therapist
  • Watkinsville, GA
  • NPI 1609941913
  NPD (past) Authorized official

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

{
    "created_epoch": "1256083200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1291075200000",
    "number": "1306172655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1367 SYDNEYS PASS",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306778393",
            "telephone_number": "770-725-9186",
            "fax_number": "603-843-2144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1367 SYDNEYS PASS",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306778393",
            "telephone_number": "770-725-9186",
            "fax_number": "603-843-2144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WORKSAFE, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-21",
        "last_updated": "2010-11-30",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "HULET",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "770-725-9186",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT006029",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT002264",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000823237A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1659446979",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1609941913",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Therapy Source",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jasmine Leann Wood, MSW
• Michelle H Woodard, M.D
• Donna Woodliff, LCSW
• Jonathan Dewey Woody, MD
• Kimberly Woody, CCC-SLP
• Joshua Wortel, DC
• Charli Lynn Wrenn, RPH
• William Burt Wrenn III, PHARMD
• Wendi Wylie
• Kesha Walker Wynn, LMT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2010; 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.