Active NPI
Sandra Kohen David, OTR/L
- Occupational Therapist
- Augusta, GA
National Provider Identifier
1336652114
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2816
- Practice address
- 449 Waverly Dr
Augusta, GA 30909-3154 - Phone
- (706) 736-0056
- NPI assigned
- Nov 15, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 549 | GA | |
| Occupational Therapist | 225X00000X | 2816 | SC | Primary |
Addresses
Primary practice location
449 Waverly Dr
Augusta, GA 30909-3154
Mailing address
449 Waverly Dr
Augusta, GA 30909-3154
Phone (706) 736-0056
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 549 | GA | MD | Clinical Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1510704000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1510704000000",
"number": "1336652114",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "449 WAVERLY DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309093154",
"telephone_number": "706-736-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "449 WAVERLY DR",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309093154",
"telephone_number": "706-736-0056"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVID",
"first_name": "SANDRA",
"middle_name": "KOHEN",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-11-15",
"last_updated": "2017-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "549",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "SC",
"license": "2816",
"primary": true
}
],
"identifiers": [],
"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 Nov 15, 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.