Individual provider Active NPI

Sharon Gaiter, OTR/L

  • Occupational Therapist
  • Villa Rica, GA
National Provider Identifier
1669504254
Registry record updated Jun 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT001137 Issued in GA
Practice address
112 Three West Pkwy
Villa Rica, GA 30180-4778
Phone
(770) 459-6533
Fax
(770) 462-1260
NPI assigned
Mar 10, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT12121 FL
Occupational Therapist 225X00000X OT001137 GA Primary

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

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT12121FLMDOccupational Therapist
OT001137GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Excellence Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1173484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782345600000",
    "number": "1669504254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 THREE WEST PKWY",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301804778",
            "telephone_number": "770-459-6533",
            "fax_number": "770-462-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 THREE WEST PKWY",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301804778",
            "telephone_number": "770-459-6533",
            "fax_number": "770-462-1260"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "909 S Park St Ste H",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301174456",
            "country_code": "US",
            "telephone_number": "678-601-3396",
            "fax_number": "678-601-3274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GAITER",
        "first_name": "SHARON",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-10",
        "last_updated": "2026-06-25",
        "certification_date": "2026-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT12121",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT001137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Villa Rica, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2026; 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.