Karen Marie Corby, OTD

Individual provider Active NPI Occupational Therapist · Dawsonville, GA

NPI 1619215712 · NPPES record last updated Apr 13, 2021

Key facts

NPI
1619215712
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT006995 (GA)
Practice address
800 Old Dawson Village Rd E Ste 10
Dawsonville, GA 30534-3818
Phone
(770) 676-1971
Fax
(678) 807-2537
NPI assigned
Jan 24, 2013
Sex
Female
Sole proprietor
No

Organizations & group practices 3

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT006995GAMDOccupational Therapist
5201008317MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Focus Factory Occupational Therapy LLC Current
since Mar 1, 2021
Accepting new patients
Building Bridges Therapy Inc Occupational Therapist Past Accepting new patients
Blackwest, LLC Past
since Aug 23, 2020
Accepting new patients

Locations

800 Old Dawson Village Rd E
Ste 10
Dawsonville, GA 30534
Phone (706) 266-2244

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT006995 GA Yes
Occupational Therapist 225X00000X 5201008317 MI

Addresses

Primary practice location

800 Old Dawson Village Rd E Ste 10
Dawsonville, GA 30534-3818

Mailing address

4115 Morning Mist LN
Cumming, GA 30028-6927
Phone (517) 442-6577

Other practice location 1

1389 Weber Industrial Dr
Cumming, GA 30041-6468
Phone (517) 442-6577

Other names

  • Karen Austermiller Former name

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address karen@focusfactoryot.com

Other providers in Dawsonville, GA

All providers in Dawsonville, GA · Occupational Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.