Malgorzata Bastia

Individual provider Active NPI Occupational Therapist · Lawrenceville, GA

NPI 1316453061 · NPPES record last updated Dec 18, 2017

Key facts

NPI
1316453061
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT006917 (GA)
Practice address
1509 Atkinson Rd Ste 1100
Lawrenceville, GA 30043-7986
Phone
(770) 995-2379
Fax
(770) 995-2385
NPI assigned
Dec 18, 2017
Sex
Female
Sole proprietor
No

Organizations & group practices 4

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Therapy Center-Alpharetta, LLC Past
since May 13, 2019
Accepting new patients
Occupational Health Centers of Georgia Past Accepting new patients
Therapy Works,P.C. Past Accepting new patients
Physical Therapy Plus, Inc Occupational Therapist Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT006917 GA Yes

Addresses

Primary practice location

1509 Atkinson Rd Ste 1100
Lawrenceville, GA 30043-7986

Mailing address

1509 Atkinson Rd Ste 1100
Lawrenceville, GA 30043-7986
Phone (770) 995-2379

Other providers in Lawrenceville, GA

All providers in Lawrenceville, GA · Occupational Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.