Active NPI
Lydia Harris, OTR/L
- Occupational Therapist
- Newnan, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT009029
- Practice address
- 1755 Highway 34 E Ste 1300
Newnan, GA 30265-3186 - Phone
- (770) 254-7850
- NPI assigned
- Jan 31, 2024
- Sex
- Female
- Sole proprietor
- No
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 Therapist | 225X00000X | OT009029 | GA | Primary |
Addresses
Primary practice location
1755 Highway 34 E Ste 1300
Newnan, GA 30265-3186
Mailing address
170 Middling LN
Fayetteville, GA 30214-3767
Phone (470) 884-9369
Other names 1
- Lydia Snyder
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
125 Grand Oak Dr
Fayetteville, GA 30214-4632
Phone (770) 626-5340
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Bone & Joint, LLC | Current | Accepting new patients | |
| Georgia Bone & Joint, LLC | Current | Accepting new patients |
Locations
125 Grand Oak Dr
Fayetteville, GA 30214
Phone (770) 626-5340
1755 Highway 34 E
Ste 1300
Newnan, GA 30265
Phone (770) 254-7850
1755 Highway 34 E
Ste 2200
Newnan, GA 30265
Phone (770) 502-2151
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 and National Provider Directory roles.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Newnan, GA
- NPI 1447276811
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Covington, GA
- NPI 1821855719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1706659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706659200000",
"number": "1497518617",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 MIDDLING LN",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302143767",
"telephone_number": "470-884-9369"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1755 HIGHWAY 34 E STE 1300",
"city": "NEWNAN",
"state": "GA",
"postal_code": "302653186",
"telephone_number": "770-254-7850"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRIS",
"first_name": "LYDIA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-01-31",
"last_updated": "2024-01-31",
"certification_date": "2024-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT009029",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LYDIA",
"last_name": "SNYDER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newnan, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.