Waltrina Chance, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

001519 Issued in GA

Practice address

3725 Wheeler Rd
Augusta, GA 30909-6623

Phone

(706) 868-6500

NPI assigned

Dec 31, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Supplemental Health Care

  • Physical Therapy Clinic/Center
  • N Charleston, SC
  • NPI 1548699366
  NPD (past)

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

{
    "created_epoch": "1356912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657497600000",
    "number": "1659617272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 WILLIAMSBURG RD APT 5104",
            "city": "HEPHZIBAH",
            "state": "GA",
            "postal_code": "308156586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3725 WHEELER RD",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309096623",
            "telephone_number": "706-868-6500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4401 Belle Oaks Dr",
            "address_2": "Suite 280",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294058537",
            "country_code": "US",
            "telephone_number": "866-571-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHANCE",
        "first_name": "WALTRINA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-31",
        "last_updated": "2022-07-11",
        "certification_date": "2022-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "001519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alisha Chan
• Daniel C. N. Chan, DDS
• Jacqueline Chan, M.D.
• Samuel N. Chan, M.D.
• C Katherine Chance, MD
• Paul Stephen Chancellor, CRNA
• Gotam Chand, MD
• Andrew Durbin Chandler, DDS
• Arthur Bleakley Chandler Jr., M.D.
• Christopher Chandler

• Occupational Therapy Assistant in Augusta, GA
• Providers in Augusta, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2022; 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.