Individual provider Active NPI

Andrea E Dobosz, OTR/L

  • Occupational Therapist
  • Cartersville, GA
National Provider Identifier
1629236963
Registry record updated Aug 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT009188 Issued in GA
Practice address
15 Medical Dr NE Ste 101
Cartersville, GA 30121-8005
Phone
(703) 386-5221
Fax
(770) 386-1128
NPI assigned
May 22, 2008
Last updated
Aug 25, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 9026 MA
Occupational Therapist 225X00000X OT01270 RI
Occupational Therapist 225X00000X OT009188 GA Primary

Addresses

Primary practice location

15 Medical Dr NE Ste 101
Cartersville, GA 30121-8005

Mailing address

15 Medical Dr NE Ste 101
Cartersville, GA 30121-8005
Phone (770) 386-5221

Other names 1

  • Miss Andrea Pugliesi Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240731000602 GA Practitioner - Occupational Therapist in Private Practice 9830445139 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

15 Medical Dr NE
Suite 101
Cartersville, GA 30121-8005
Phone 80084152003240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9026MAMDPsychologist
OT01270RIMDOccupational Therapist
5798TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Bone & Joint Surgeons, P.C, CurrentSince Jul 1, 2025 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Jul 15, 2024 Accepting new patients
Legacy Healthcare Services, Inc. Occupational Therapist CurrentSince Jul 15, 2024 Accepting new patients
Georgia Bone & Joint Surgeons, P.C. Past Accepting new patients

Locations

3333 E Cherokee Dr
Canton, GA 30115
Phone (470) 714-6698

460 Northside Cherokee Blvd
Ste 430
Canton, GA 30115
Phone (678) 493-2527

15 Medical Dr NE
Ste 101
Cartersville, GA 30121
Phone (770) 386-5221

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/24010/brand/1/csg/1/fhir/r4

Organizations & group practices 4

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": "1211414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756080000000",
    "number": "1629236963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 MEDICAL DR NE STE 101",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301218005",
            "telephone_number": "770-386-5221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 MEDICAL DR NE STE 101",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301218005",
            "telephone_number": "703-386-5221",
            "fax_number": "770-386-1128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBOSZ",
        "first_name": "ANDREA",
        "middle_name": "E",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-22",
        "last_updated": "2025-08-25",
        "certification_date": "2025-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MA",
            "license": "9026",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "RI",
            "license": "OT01270",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT009188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANDREA",
            "last_name": "PUGLIESI",
            "prefix": "MISS",
            "credential": "OTR/L",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.