Individual provider Active NPI

Taisia D Walker, OTR

  • Occupational Therapist
  • Forsyth, GA
National Provider Identifier
1679293153
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT007668 Issued in GA
Practice address
120 N Lee St Ste E
Forsyth, GA 31029-2122
Phone
(478) 994-3390
Fax
(478) 845-6252
NPI assigned
Sep 2, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT007668 GA Primary

Addresses

Primary practice location

120 N Lee St Ste E
Forsyth, GA 31029-2122

Mailing address

120 N Lee St Ste E
Forsyth, GA 31029-2122
Phone (478) 994-3390

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220919001763 GA Practitioner - Occupational Therapist in Private Practice 7012392632 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT007668GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healing Arts Physical Therapy CurrentSince Sep 8, 2022 Accepting new patients
Dialysis Center of Forsyth LLC PastSince Sep 4, 2022 Accepting new patients

Locations

120 N Lee St
#E
Forsyth, GA 31029
Phone (478) 994-3390

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1662076800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1679293153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N LEE ST STE E",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310292122",
            "telephone_number": "478-994-3390",
            "fax_number": "478-845-6252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N LEE ST STE E",
            "city": "FORSYTH",
            "state": "GA",
            "postal_code": "310292122",
            "telephone_number": "478-994-3390",
            "fax_number": "478-845-6252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALKER",
        "first_name": "TAISIA",
        "middle_name": "D",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-02",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forsyth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.