Active NPI
Abbey Jillian Mott, OTR/L
- Occupational Therapist
- Augusta, GA
National Provider Identifier
1316689912
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT008616
- Practice address
- 3650 J Dewey Gray Cir
Augusta, GA 30909-1867 - Phone
- (706) 863-9797
- NPI assigned
- Apr 13, 2022
- 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 | OT008616 | GA | Primary |
Addresses
Primary practice location
3650 J Dewey Gray Cir
Augusta, GA 30909-1867
Mailing address
3650 J Dewey Gray Cir
Augusta, GA 30909-1867
Phone (706) 863-9797
Other practice location 1
399 Silver Bluff Rd
Aiken, SC 29803-6007
Phone (803) 649-2250
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15555525 | Other | CAQH NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 79.48 of 100
- Quality
- 56.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 75.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT008616 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Augusta Orthopedic & Sports Medicine Specialists PC | Current | Accepting new patients | |
| Augusta Orthopedic & Sports Medicine Specialists PC | Current | Accepting new patients | |
| Pediatric Orthopedic Associates | Past | Accepting new patients |
Locations
3650 J Dewey Gray Cir
Augusta, GA 30909
Phone (706) 863-9797
410 University Pkwy
Ste 1000
Aiken, SC 29801
Phone (803) 644-4264
399 Silver Bluff Rd
Aiken, SC 29803
Phone (803) 293-1540
Interoperability endpoints
- abbey.mott.1@23890.direct.athenahealth.com
- https://api.platform.athenahealth.com/23890/brand/1/csg/1/fhir/r4
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Augusta, GA
- NPI 1457389504
-
- Orthopaedic Surgery Physician
- Aiken, SC
- NPI 1952076382
-
- Pediatric Radiology Physician
- Salt Lake City, UT
- NPI 1659488799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1649808000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1725408000000",
"number": "1316689912",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3650 J DEWEY GRAY CIR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309091867",
"telephone_number": "706-863-9797"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3650 J DEWEY GRAY CIR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309091867",
"telephone_number": "706-863-9797"
}
],
"practiceLocations": [
{
"address_1": "399 Silver Bluff Rd",
"address_purpose": "LOCATION",
"city": "Aiken",
"state": "SC",
"postal_code": "298036007",
"country_code": "US",
"telephone_number": "803-649-2250",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MOTT",
"first_name": "ABBEY",
"middle_name": "JILLIAN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-04-13",
"last_updated": "2024-09-04",
"certification_date": "2024-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT008616",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH NUMBER",
"identifier": "15555525",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.