Baleah Denise Anderson, COTA
Individual provider Active NPI Occupational Therapist · Augusta, GA
NPI 1558069724 · NPPES record last updated Feb 17, 2023
Key facts
- NPI
- 1558069724
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OTA002874 (GA)
- Practice address
- 3725 Wheeler Rd
Augusta, GA 30909-6623 - Phone
- (706) 251-3994
- NPI assigned
- Feb 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA002874 | GA | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTA002874 | GA | Yes |
Addresses
Primary practice location
3725 Wheeler Rd
Augusta, GA 30909-6623
Mailing address
1805 Bowdoin Dr # 1805
Augusta, GA 30909-4513
Phone (706) 251-3994
Other providers in Augusta, GA
- Faye Wright Anders
- Faye S Anderson-Mathis
- Alexander Bassam Anderson
- Amanda Anderson
- Amy Michelle Anderson
- Brett Allan Anderson
- Brian Keith Anderson
- Carthal Jonathan Anderson
- Casie Brooke Anderson
- Catrina Anderson
All providers in Augusta, GA · Occupational Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 17, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.