Lily Loretta Stevens, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA001835 Issued in GA

Practice address

2000 E West Connector
Austell, GA 30106-1194

Phone

(770) 819-7003

NPI assigned

Dec 29, 2018

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

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

{
    "created_epoch": "1546041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546041600000",
    "number": "1548732621",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5052 HUNTCREST DR SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 E WEST CONNECTOR",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301061194",
            "telephone_number": "770-819-7003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "601 Northolt Pkwy",
            "address_purpose": "LOCATION",
            "city": "Suwanee",
            "state": "GA",
            "postal_code": "300244360",
            "country_code": "US",
            "telephone_number": "770-904-3220",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "LILY",
        "middle_name": "LORETTA",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-29",
        "last_updated": "2018-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA001835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Garrett Starnes
• Bradley Stearns
• Jadashia Steele
• Lara Stephens, APRN, WHNP-BC
• Courtney Stevens, PA-C
• Tiffany Stewart, CPHT
• Caroline Stiles
• Jeremy Deangelo Stocks, MD
• Kristian Holmes Stodghill, M.D.
• Amber Stokes, D.C.

• Occupational Therapy Assistant in Austell, GA
• Providers in Austell, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2018; 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.