Organization Active NPI

OT Therapy Works

  • Early Intervention Provider Agency
  • Gainesville, GA
National Provider Identifier
1619449113
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Early Intervention Provider AgencyTaxonomy code 252Y00000X
Legal business name
OT THERAPY WORKS
Practice address
2925 Rivercrest Dr
Gainesville, GA 30507-8349
Phone
(678) 617-6726
Fax
(770) 536-2045
NPI assigned
Dec 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Authorized official

Name
Mrs. Michelle Dowdy, OTR/LNPI 1457479263
Title
Owner
Phone
(678) 617-6726

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Early Intervention Provider Agency 252Y00000X Primary

Addresses

Primary practice location

2925 Rivercrest Dr
Gainesville, GA 30507-8349

Mailing address

2925 Rivercrest Dr
Gainesville, GA 30507-8349
Phone (678) 617-6726

Other identifiers 1

IdentifierTypeStateIssuer
941370577BMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1545264000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545264000000",
    "number": "1619449113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2925 RIVERCREST DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305078349",
            "telephone_number": "678-617-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2925 RIVERCREST DR",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305078349",
            "telephone_number": "678-617-6726",
            "fax_number": "770-536-2045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OT THERAPY WORKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-20",
        "last_updated": "2018-12-20",
        "status": "A",
        "authorized_official_last_name": "DOWDY",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-617-6726",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "941370577B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 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.