Individual provider Active NPI

Joanna Barton, OT R/L

  • Occupational Therapist
  • Valdosta, GA
National Provider Identifier
1386340628
Registry record updated Feb 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT008520 Issued in GA
Practice address
2301 Bemiss Rd
Valdosta, GA 31602-1934
Phone
(229) 244-1667
NPI assigned
Feb 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT008520 GA Primary

Addresses

Primary practice location

2301 Bemiss Rd
Valdosta, GA 31602-1934

Mailing address

2301 Bemiss Rd
Valdosta, GA 31602-1934
Phone (229) 244-1667

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230301000497 GA Practitioner - Occupational Therapist in Private Practice 8224401872 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT008520GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Azalea Rehab Services, LLC Occupational Therapist CurrentSince Feb 1, 2023 Accepting new patients
Choice Family Medicine, PC PastSince Feb 1, 2023 Accepting new patients

Locations

2301 Bemiss Rd
Valdosta, GA 31602
Phone (229) 244-1667

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675814400000",
    "number": "1386340628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 BEMISS RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021934",
            "telephone_number": "229-244-1667",
            "fax_number": "229-244-8253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 BEMISS RD",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316021934",
            "telephone_number": "229-244-1667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTON",
        "first_name": "JOANNA",
        "credential": "OT R/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008520",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.