Active NPI
NHC of Fort Oglethorpe
- Occupational Therapy Assistant
- La Fayette, GA
National Provider Identifier
1649377797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA000796
- Legal business name
- NHC OF FORT OGLETHORPE
- Practice address
- 40 Ridgeway Rd
La Fayette, GA 30728-4103 - Phone
- (706) 638-3833
- NPI assigned
- Sep 20, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Jennifer Blakley Chapman, COTA/L
- Title
- Occupational Therapy Assistant
- Phone
- (706) 866-7700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA000796 | GA | Primary |
Addresses
Primary practice location
40 Ridgeway Rd
La Fayette, GA 30728-4103
Mailing address
2403 Battlefield Pkwy
Fort Oglethorpe, GA 30742-4033
Phone (706) 866-7700
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1649377797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2403 BATTLEFIELD PKWY",
"city": "FORT OGLETHORPE",
"state": "GA",
"postal_code": "307424033",
"telephone_number": "706-866-7700",
"fax_number": "706-866-1471"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 RIDGEWAY RD",
"city": "LA FAYETTE",
"state": "GA",
"postal_code": "307284103",
"telephone_number": "706-638-3833"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NHC OF FORT OGLETHORPE",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "CHAPMAN",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "BLAKLEY",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPY ASSISTANT",
"authorized_official_telephone_number": "706-866-7700",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "COTA/L"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapy Assistant",
"state": "GA",
"license": "OTA000796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in La Fayette, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.