NPIMap

Individual provider Active NPI

Stephanie Mawyer, OTR/L

  • Occupational Therapist
  • Atlanta, GA
National Provider Identifier
1427377670
Registry record updated Jul 6, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
0119004915 Issued in VA
Practice address
1160 Hammond Dr
Unit 144
Atlanta, GA 30328-5473
Phone
(703) 470-0748
NPI assigned
May 27, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119004915 VA Primary
Occupational Therapist 225X00000X OT006159 GA
Occupational Therapist 225X00000X OT14994 FL

Addresses

Primary practice location

1160 Hammond Dr
Unit 144
Atlanta, GA 30328-5473

Mailing address

1160 Hammond Dr
Unit 144
Atlanta, GA 30328-5473
Phone (703) 470-0748

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT14994FLMDOccupational Therapist
0119004915VAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436140800000",
    "number": "1427377670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1160 HAMMOND DR",
            "address_2": "UNIT 144",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285473",
            "telephone_number": "703-470-0748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1160 HAMMOND DR",
            "address_2": "UNIT 144",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285473",
            "telephone_number": "703-470-0748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAWYER",
        "first_name": "STEPHANIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-05-27",
        "last_updated": "2015-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119004915",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006159",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT14994",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2015; 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.