Individual provider Active NPI

Mary Carly Warbington, OTR/L

  • Occupational Therapist
  • Dacula, GA
National Provider Identifier
1538057070
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT009549 Issued in GA
Practice address
1854 Auburn Rd
Dacula, GA 30019-1130
Phone
(770) 904-6009
NPI assigned
Jun 24, 2025
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT009549 GA Primary

Addresses

Primary practice location

1854 Auburn Rd
Dacula, GA 30019-1130

Mailing address

603 Hayes Rd
Auburn, GA 30011-2357
Phone (770) 713-7564

Other practice location 1

2755 Bunten Rd
Duluth, GA 30096-4003
Phone (770) 713-7564

Other names 1

  • Mary Carly Robinson 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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT009549GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Big Stride Therapy Occupational Therapist Past Accepting new patients
Tender Ones Therapy Services, Inc. PastSince Jun 29, 2025 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750723200000",
    "number": "1538057070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 HAYES RD",
            "city": "AUBURN",
            "state": "GA",
            "postal_code": "300112357",
            "telephone_number": "770-713-7564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1854 AUBURN RD",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300191130",
            "telephone_number": "770-904-6009"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2755 Bunten Rd",
            "address_purpose": "LOCATION",
            "city": "Duluth",
            "state": "GA",
            "postal_code": "300964003",
            "country_code": "US",
            "telephone_number": "770-713-7564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARBINGTON",
        "first_name": "MARY",
        "middle_name": "CARLY",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT009549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "ROBINSON",
            "middle_name": "CARLY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.