Deasia Monique McMillan, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA002107 Issued in GA

Practice address

1865 Bold Springs Rd NW
Monroe, GA 30656-4605

Phone

(770) 267-8677

NPI assigned

Nov 2, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1478044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478044800000",
    "number": "1356893705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "70 HIGHOAK DR NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300664932",
            "telephone_number": "520-979-6425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1865 BOLD SPRINGS RD NW",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306564605",
            "telephone_number": "770-267-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMILLAN",
        "first_name": "DEASIA",
        "middle_name": "MONIQUE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-02",
        "last_updated": "2016-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AL",
            "license": "4333",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA002107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis J Martucci, PT
• Molly Masselli
• Thomas Mathew Jr., M.D.
• Matriarch Medical LLC
• Sarah V McBee, MD
• Michael David McMunn, FNP
• Prechus McNeal, CPT
• Lauren McNeely
• Corey Williman McTeer, DPT
• MD Pain Care, P.C.

• Occupational Therapy Assistant in Monroe, GA
• Providers in Monroe, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; 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.