Jayna Harishchandra, OTR

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT008317 Issued in GA

Practice address

536 Grand Slam Dr Ste D
Evans, GA 30809-8045

Phone

(706) 854-8434

NPI assigned

Dec 20, 2021

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

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.

• Therapy Trails of Evans

  • Multi-Specialty Clinic/Center
  • Evans, GA
  • NPI 1124677919

  Pediatrics

  NPD

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

{
    "created_epoch": "1639958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639958400000",
    "number": "1508526401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 BOBWHITE TRL",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308135886",
            "telephone_number": "706-726-7745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 GRAND SLAM DR STE D",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308098045",
            "telephone_number": "706-854-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARISHCHANDRA",
        "first_name": "JAYNA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-20",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT008317",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jenny Harbuck
• Jaceson S Hardin
• Virgil M. Hardin
• Emily Hardt, DPT
• Catherine Paulk Hardy
• Elizabeth Blair Harison, LMFT
• Peter Harkelli
• John Douglas Harmon, MD
• Robert L Harmon, M.D.
• Harmonie Medical

• All providers in Evans, GA
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.