Active NPI
Aimee Elizabeth Pool, COTA/L
- Occupational Therapy Assistant
- Pooler, GA
National Provider Identifier
1467185132
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA000867
- Practice address
- 236 Pampas Dr
Pooler, GA 31322-4139 - Phone
- (912) 656-2989
- NPI assigned
- Jul 8, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA000867 | GA | Primary |
Addresses
Primary practice location
236 Pampas Dr
Pooler, GA 31322-4139
Mailing address
236 Pampas Dr
Pooler, GA 31322-4139
Phone (912) 656-2989
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA000867 | GA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657238400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657238400000",
"number": "1467185132",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "236 PAMPAS DR",
"city": "POOLER",
"state": "GA",
"postal_code": "313224139",
"telephone_number": "912-656-2989"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "236 PAMPAS DR",
"city": "POOLER",
"state": "GA",
"postal_code": "313224139",
"telephone_number": "912-656-2989"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POOL",
"first_name": "AIMEE",
"middle_name": "ELIZABETH",
"credential": "COTA/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-07-08",
"last_updated": "2022-07-08",
"certification_date": "2022-07-06",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": "GA",
"license": "OTA000867",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pooler, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.