Individual provider Active NPI

Daphyne Marie Ewings, COTA/L

  • Occupational Therapy Assistant
  • Albany, GA
National Provider Identifier
1538726633
Registry record updated May 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA001439 Issued in GA
Practice address
4605 Gillionville Rd
Albany, GA 31721-9565
Phone
(229) 343-3957
NPI assigned
May 23, 2019
Last updated
May 23, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 23, 2019

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 OTA001439 GA Primary

Addresses

Primary practice location

4605 Gillionville Rd
Albany, GA 31721-9565

Mailing address

4605 Gillionville Rd
Albany, GA 31721-9565
Phone (229) 343-3957

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
OTA001439GAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1558569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558569600000",
    "number": "1538726633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4605 GILLIONVILLE RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317219565",
            "telephone_number": "229-343-3957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4605 GILLIONVILLE RD",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317219565",
            "telephone_number": "229-343-3957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EWINGS",
        "first_name": "DAPHYNE",
        "middle_name": "MARIE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-05-23",
        "last_updated": "2019-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA001439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2019; 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.