Individual provider Active NPI

Tatiana Barkova-Talley, COTA

  • Occupational Therapy Assistant
  • Augusta, GA
National Provider Identifier
1508238577
Registry record updated Oct 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA001988 Issued in GA
Practice address
2258 Wrightsboro Rd Ste 250
Augusta, GA 30904-7605
Phone
(706) 724-6543
Fax
(206) 350-9023
NPI assigned
Oct 29, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA001988 GA Primary

Addresses

Primary practice location

2258 Wrightsboro Rd Ste 250
Augusta, GA 30904-7605

Mailing address

2258 Wrightsboro Rd Ste 250
Augusta, GA 30904-7605
Phone (706) 724-6543

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

LicenseStateTypeSpecialty
OTA001988GAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1446076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446076800000",
    "number": "1508238577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2258 WRIGHTSBORO RD STE 250",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309047605",
            "telephone_number": "706-724-6543",
            "fax_number": "206-350-9023"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2258 WRIGHTSBORO RD STE 250",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309047605",
            "telephone_number": "706-724-6543",
            "fax_number": "206-350-9023"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARKOVA-TALLEY",
        "first_name": "TATIANA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-29",
        "last_updated": "2015-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA001988",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2015; 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.