Active NPI
Jessica Daniels, MS, OTR/L
- Occupational Therapist
- Cumming, GA
National Provider Identifier
1508562018
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT008384
- Practice address
- 1715 Friendship Cir Ste 300
Cumming, GA 30028-6920 - Phone
- (770) 240-0163
- Fax
- (770) 240-0163
- NPI assigned
- Feb 6, 2023
- Sex
- Female
- Sole proprietor
- No
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.
-
- Speech-Language Pathologist
- Cumming, GA
- NPI 1891280921
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT008384 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Joy Therapy and Learning Center LLC | Current |
Accepting new patients |
Locations
1715 Friendship Cir
Ste 300
Cumming, GA 30028
Phone (770) 240-0163
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT008384 | GA | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1715 Friendship Cir Ste 300
Cumming, GA 30028-6920
Mailing address
1715 Friendship Cir Ste 300
Cumming, GA 30028-6920
Phone (770) 240-0163
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT008743 | Other | GA | GEORGIA STATE LICENSE |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 6, 2023.
{
"created_epoch": "1675641600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675641600000",
"number": "1508562018",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1715 FRIENDSHIP CIR STE 300",
"city": "CUMMING",
"state": "GA",
"postal_code": "300286920",
"telephone_number": "770-240-0163",
"fax_number": "770-240-0163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1715 FRIENDSHIP CIR STE 300",
"city": "CUMMING",
"state": "GA",
"postal_code": "300286920",
"telephone_number": "770-240-0163",
"fax_number": "770-240-0163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DANIELS",
"first_name": "JESSICA",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-06",
"last_updated": "2023-02-06",
"certification_date": "2023-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT008384",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEORGIA STATE LICENSE",
"identifier": "OT008743",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.