Individual provider Active NPI

Harriett L Dumas, OTR L

  • Pediatric Occupational Therapist
  • Warner Robins, GA
National Provider Identifier
1497872667
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT2530 Issued in GA
Practice address
4501 Russell Pkwy
Suite 20
Warner Robins, GA 31088
Phone
(478) 953-0077
Fax
(478) 475-1010
NPI assigned
Mar 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT2530 GA Primary

Addresses

Primary practice location

4501 Russell Pkwy
Suite 20
Warner Robins, GA 31088

Mailing address

224 Troon W
Macon, GA 31210-4949
Phone (478) 731-5235

Other names 1

  • Miss Harriett L Walker Former name

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
OT2530GAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids-N-Action Pediatric Therapy Pediatrics Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497872667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "224 TROON W",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312104949",
            "telephone_number": "478-731-5235",
            "fax_number": "478-475-1010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4501 RUSSELL PKWY",
            "address_2": "SUITE 20",
            "city": "WARNER ROBINS",
            "state": "GA",
            "postal_code": "31088",
            "telephone_number": "478-953-0077",
            "fax_number": "478-475-1010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUMAS",
        "first_name": "HARRIETT",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT2530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HARRIETT",
            "last_name": "WALKER",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "OTR L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Warner Robins, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.