Alexandrea P Massingill, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA001652 Issued in GA

Practice address

2470 Dug Gap Rd
Dalton, GA 30720-9210

Phone

(706) 810-5980

NPI assigned

Jul 7, 2023

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": "1688688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1457039679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 BANDY ESTATES RD",
            "city": "LA FAYETTE",
            "state": "GA",
            "postal_code": "307284335",
            "telephone_number": "706-767-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2470 DUG GAP RD",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307209210",
            "telephone_number": "706-810-5980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASSINGILL",
        "first_name": "ALEXANDREA",
        "middle_name": "P",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-07-07",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA001652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Martin, CNM
• Alfredo Martinez Chavira, SURGICAL ASSISTANT
• Jacqueline Silvia Martins Torrontegui, MD
• Alisca Brooke Massey, PTA
• Erin Tiffany Massie, FNP-C
• Sarbjit Singh Masson, MD
• Joella Matheny, ATC
• Kyle D Maxwell, MD
• Therese A Maxwell, MD
• William S Mayberry, MD

• Occupational Therapy Assistant in Dalton, GA
• Providers in Dalton, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2023; 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.