Individual provider Active NPI

Amari Banks, OTR/L

  • Occupational Therapist
  • Kennesaw, GA
National Provider Identifier
1447997168
Registry record updated Jan 18, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT008063 Issued in GA
Practice address
4286 Bells Ferry Rd NW Ste 210
Kennesaw, GA 30144-1302
Phone
(678) 463-7623
NPI assigned
May 14, 2022
Last updated
Jan 18, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 18, 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 OT008063 GA Primary

Addresses

Primary practice location

4286 Bells Ferry Rd NW Ste 210
Kennesaw, GA 30144-1302

Mailing address

2850 Delk Rd SE Apt 15a
Marietta, GA 30067-5364
Phone (678) 463-7623

Other practice location 1

321 London Way
Lithia Springs, GA 30122-6805
Phone (678) 463-7623

Other practice location 2

4028 Highway 5
Douglasville, GA 30135-3530
Phone (770) 942-7111

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230301001331 GA Practitioner - Occupational Therapist in Private Practice 9234502808 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT008063GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Lotus Therapeutic Solutions, LLC Current Accepting new patients
Fox Rehabilitation Ga, LLC Occupational Therapist CurrentSince Feb 1, 2023 Accepting new patients

Locations

7 Carnegie Plz
Cherry Hill, NJ 08003

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1652486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674000000000",
    "number": "1447997168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2850 DELK RD SE APT 15A",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675364",
            "telephone_number": "678-463-7623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4286 BELLS FERRY RD NW STE 210",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301441302",
            "telephone_number": "678-463-7623"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "321 London Way",
            "address_purpose": "LOCATION",
            "city": "Lithia Springs",
            "state": "GA",
            "postal_code": "301226805",
            "country_code": "US",
            "telephone_number": "678-463-7623",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4028 Highway 5",
            "address_purpose": "LOCATION",
            "city": "Douglasville",
            "state": "GA",
            "postal_code": "301353530",
            "country_code": "US",
            "telephone_number": "770-942-7111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BANKS",
        "first_name": "AMARI",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-14",
        "last_updated": "2023-01-18",
        "certification_date": "2023-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008063",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 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.