Active NPI
Pamela Kay Evans, OTR
- Pediatric Occupational Therapist
- Buford, GA
National Provider Identifier
1548469554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT001050
- Practice address
- 470 S Hill St
Helping Hands Pediatric Therapy
Buford, GA 30518-3220 - Phone
- (678) 482-6100
- Fax
- (770) 932-5684
- NPI assigned
- Jul 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT001050 | GA | Primary |
Addresses
Primary practice location
470 S Hill St
Helping Hands Pediatric Therapy
Buford, GA 30518-3220
Mailing address
3749 Sidney Lanier Blvd
Duluth, GA 30096-3271
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 14251927C | Medicaid | GA |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT001050 | GA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Helping Hands Pediatric Therapy | Past | Accepting new patients |
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.
-
- Occupational Therapist
- Buford, GA
- NPI 1174591226
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222128000000",
"number": "1548469554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3749 SIDNEY LANIER BLVD",
"city": "DULUTH",
"state": "GA",
"postal_code": "300963271"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 S HILL ST",
"address_2": "HELPING HANDS PEDIATRIC THERAPY",
"city": "BUFORD",
"state": "GA",
"postal_code": "305183220",
"telephone_number": "678-482-6100",
"fax_number": "770-932-5684"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EVANS",
"first_name": "PAMELA",
"middle_name": "KAY",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-11",
"last_updated": "2008-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "GA",
"license": "OT001050",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14251927C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.