Individual provider Active NPI

Brittany Wilt, MOTR/L

  • Occupational Therapist
  • Newnan, GA
National Provider Identifier
1548905896
Registry record updated May 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT008411 Issued in GA
Practice address
2959 Sharpsburg McCullum Rd Ste C
Newnan, GA 30265-2297
Phone
(770) 683-0250
NPI assigned
May 2, 2022
Last updated
May 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2022

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 OT008411 GA Primary

Addresses

Primary practice location

2959 Sharpsburg McCullum Rd Ste C
Newnan, GA 30265-2297

Mailing address

2959 Sharpsburg McCullum Rd Ste C
Newnan, GA 30265-2297
Phone (770) 683-0250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230329000382 GA Practitioner - Occupational Therapist in Private Practice 2062886369 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Select Rehabilitation, LLC Occupational Therapist CurrentSince Apr 30, 2023 Accepting new patients
The Weston Group Inc. CurrentSince Feb 10, 2023 Accepting new patients
The Weston Group Inc. Occupational Therapist CurrentSince Feb 10, 2023 Accepting new patients
Adaptive Rehabilitation Clinics, LLC Occupational Therapist Past Accepting new patients
Interactiv Children's Therapy Services, Inc. Occupational Therapist PastSince May 8, 2022 Accepting new patients

Locations

1100 Reinhardt College Pkwy
Canton, GA 30114
Phone (770) 721-2812

150 Cottage Ln
Carrollton, GA 30117
Phone (770) 830-8857

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1651449600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1651449600000",
    "number": "1548905896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 SHARPSBURG MCCULLUM RD STE C",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652297",
            "telephone_number": "770-683-0250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 SHARPSBURG MCCULLUM RD STE C",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302652297",
            "telephone_number": "770-683-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILT",
        "first_name": "BRITTANY",
        "name_prefix": "Mrs.",
        "credential": "MOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-05-02",
        "last_updated": "2022-05-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008411",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.