Active NPI
Janna Hyde
- Occupational Therapist
- Kennesaw, GA
National Provider Identifier
1356745426
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT006026
- Practice address
- 5150 Stilesboro Rd NW
Suite 430
Kennesaw, GA 30152-7744 - Phone
- (770) 218-2300
- NPI assigned
- Oct 17, 2014
- Last updated
- Oct 17, 2014
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT006026 | GA | Primary |
Addresses
Primary practice location
5150 Stilesboro Rd NW
Suite 430
Kennesaw, GA 30152-7744
Mailing address
4641 Kings Crossing Dr NE
Kennesaw, GA 30144-1652
Phone (770) 218-2300
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 |
|---|---|---|---|
| OT006026 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rising Stars Children's Therapy, Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Rehabilitation Clinic/Center
- Woodstock, GA
- NPI 1104099134
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1413504000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413504000000",
"number": "1356745426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4641 KINGS CROSSING DR NE",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301441652",
"telephone_number": "770-218-2300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5150 STILESBORO RD NW",
"address_2": "SUITE 430",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301527744",
"telephone_number": "770-218-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HYDE",
"first_name": "JANNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2014-10-17",
"last_updated": "2014-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT006026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
- Chrishondra Hutchinson Porter, RBT
- Charles L Hutchinson, MD
- Mary D Hutton, L.M.T., N.C.T.M.
- Hyacinth Dennis Crooks LLC (RED TENT Women's Health and Med Spa)
- Kristin Hyatt, COTA/L
- Courtney Marie Hyer, BCBA
- Hyperbaric Physicians of Georgia Inc
- Ajibola Idowu
- Faith Igbinehi
- Nihinlolawa Oreoluwa Ijamakinwa, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.