Dewanna Phiffer Reed, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT007654 Issued in GA

Practice address

11960 Chaffin Rd
Roswell, GA 30075-1479

Phone

(770) 873-1170

NPI assigned

Jan 4, 2022

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)

Enrolled

Practice roles

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.

• Center for the Visually Impaired

  • Low Vision Rehabilitation Optometrist
  • Atlanta, GA
  • NPI 1497893671
  NPD

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1407517295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11960 CHAFFIN RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751479",
            "telephone_number": "770-873-1170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11960 CHAFFIN RD",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751479",
            "telephone_number": "770-873-1170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "DEWANNA",
        "middle_name": "PHIFFER",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra M. Redderoth, MS, RCEP
• Consuelo Reddick, M.D.
• Rediclinic US, LLC
• Ronald Scott Redman, D.C.
• Tene Redman, MD
• Jenny Mead Reed, LMFT, LPC
• Jimmy Reed, RBT
• John Chip Hamilton Reed III, M.D.
• Madison Reed
• Erin Elizabeth Reeves, FNP-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.