Caleb Justin Ray, OTR/L

Individual provider Active NPI Occupational Therapist · Villa Rica, GA

NPI 1649918327 · NPPES record last updated Jun 23, 2026

Key facts

NPI
1649918327
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OT008432 (GA)
Practice address
112 Three West Pkwy
Villa Rica, GA 30180-4778
Phone
(770) 459-6533
NPI assigned
May 23, 2022
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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
OT008432GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Excellence Past
since Jul 9, 2025
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT008432 GA Yes

Addresses

Primary practice location

112 Three West Pkwy
Villa Rica, GA 30180-4778

Mailing address

112 Three West Pkwy
Villa Rica, GA 30180-4778
Phone (770) 459-6533

Other practice location 1

909 S Park St Ste H
Carrollton, GA 30117-4456
Phone (678) 601-3396

Other providers in Villa Rica, GA

All providers in Villa Rica, GA · Occupational Therapist in Georgia

Sources for this page

Verify at the official NPI Registry.