Annette Hardmon, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

001039 Issued in GA

Practice address

130 Trolling Way
Fayetteville, GA 30215-5355

Phone

(404) 630-0425

Fax

(770) 716-8684

NPI assigned

Jan 6, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1168041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386792539",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 961553",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302966907",
            "telephone_number": "404-630-0425",
            "fax_number": "770-716-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 TROLLING WAY",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302155355",
            "telephone_number": "404-630-0425",
            "fax_number": "770-716-8684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARDMON",
        "first_name": "ANNETTE",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-06",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "001039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meghan Harbin, LCSW
• Harbor Grace Hospice, Inc.
• Mitchell Hardesty, CPHT
• Gloria J. Hardiman
• Taylor Hardiman
• Michaela Hargett-Thomas, RBT
• Kayla-Marie Hargrove, RBT
• Tomia Palmer Harmon, M.D.
• Byron Fletcher Harper III, M.D.
• Melanie Street Harper

• Occupational Therapist in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.