Active NPI
Jennifer Wootson
- Occupational Therapist
- Byron, GA
National Provider Identifier
1639509086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT000642
- Practice address
- 100 Hamilton Pointe Dr
Byron, GA 31008-1552 - Phone
- (478) 956-4916
- NPI assigned
- Nov 21, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT000642 | GA | Primary |
Addresses
Primary practice location
100 Hamilton Pointe Dr
Byron, GA 31008-1552
Mailing address
PO Box 1552
100 Hamilton Pointe Dr.
Byron, GA 31008-1552
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Middle Georgia Family Rehab | Past | Accepting new patients | |
| Central Ga Family Therapy | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Byron, GA
- NPI 1316788540
-
- Health Maintenance Organization
- Byron, GA
- NPI 1366844367
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384992000000",
"number": "1639509086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1552",
"address_2": "100 HAMILTON POINTE DR.",
"city": "BYRON",
"state": "GA",
"postal_code": "310081552"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HAMILTON POINTE DR",
"city": "BYRON",
"state": "GA",
"postal_code": "310081552",
"telephone_number": "478-956-4916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOOTSON",
"first_name": "JENNIFER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-21",
"last_updated": "2013-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT000642",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Byron, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.