Tina Denise Barnes, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA001130 Issued in GA

Practice address

156 Pine Knoll Dr
Carrollton, GA 30117-2451

Phone

(770) 832-8243

NPI assigned

Jun 26, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Tina Denise Boynton Former name

Electronic endpoints 1

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": "1656201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656201600000",
    "number": "1598497992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 CRESTMARK BLVD",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301224426",
            "telephone_number": "478-697-6949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "156 PINE KNOLL DR",
            "city": "CARROLLTON",
            "state": "GA",
            "postal_code": "301172451",
            "telephone_number": "770-832-8243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES",
        "first_name": "TINA",
        "middle_name": "DENISE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-26",
        "last_updated": "2022-06-26",
        "certification_date": "2022-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA001130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Pine.Knoll@selectrehab.com",
            "affiliation": "N",
            "endpointDescription": "secured email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "156 Pine Knoll Dr",
            "city": "Carrollton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301172451",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TINA",
            "last_name": "BOYNTON",
            "middle_name": "DENISE",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Latoya Banton, LPC
• Brian E Barden, M.D.
• Jessica Marie Barker, IDMT
• Margo Barnard, LPC
• Rodney N Barnes, PTA
• Robert Kelly Barnett, M.D.
• Holly Deanne Barnlund, CRNA
• Caroline H Barrett, RD
• Donya J. Bartlett, APRN BC
• Andrew M Bass, ATC

• Occupational Therapy Assistant in Carrollton, GA
• Providers in Carrollton, 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 Jun 26, 2022; 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.