Active NPI
Christina Samar Khal, MSOT, OTR/L
- Occupational Therapist
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT006175
- Practice address
- 2258 Wrightsboro Rd
Suite 250
Augusta, GA 30904-4887 - Phone
- (706) 724-6543
- Fax
- (206) 350-9023
- NPI assigned
- Apr 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT006175 | GA | Primary |
| Mental Health Occupational Therapist | 225XM0800X | OT006175 | GA | |
| Neurorehabilitation Occupational Therapist | 225XN1300X | OT006175 | GA | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OT006175 | GA |
Addresses
Primary practice location
2258 Wrightsboro Rd
Suite 250
Augusta, GA 30904-4887
Mailing address
2258 Wrightsboro Rd
Suite 250
Augusta, GA 30904-4887
Phone (706) 724-6543
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA, SC
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Smyrna, GA 30082
Phone (301) 275-4057
255 Vaughn Dr
Alpharetta, GA 30009-2415
Phone (770) 521-9707
3725 Wheeler Rd
Augusta, GA 30909-6623
Phone (706) 364-3325
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6749 | SC | MD | Physical Therapist |
| OT006175 | GA | MD | Mental Health Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services, Inc. | Occupational Therapist | Current | Accepting new patients |
| Southeastern Swallowing Diagnostics | Current | Accepting new patients | |
| Fox Rehabilitation Ga, LLC | Occupational Therapist | Current | Accepting new patients |
| Fox Rehabilitation Services of South Carolina, LLC | Occupational Therapist | Current | Accepting new patients |
| Functional Pathways Preferred of Tennessee LLC | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Occupational Therapist | Current | Accepting new patients |
Locations
100 Washington Commons Dr
Evans, GA 30809
Phone (706) 426-8136
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
7 Carnegie Plz
Cherry Hill, NJ 08003
10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847
Organizations & group practices 6
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.
-
- Physical Therapist
- Dawsonville, GA
- NPI 1528419751
Occupational Therapist
-
- Physical Therapist
- Lexington, SC
- NPI 1902133689
Occupational Therapist
-
- Physical Therapist
- Knoxville, TN
- NPI 1841561446
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1429488000000",
"number": "1679960561",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2258 WRIGHTSBORO RD",
"address_2": "SUITE 250",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309044887",
"telephone_number": "706-724-6543",
"fax_number": "206-350-9023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2258 WRIGHTSBORO RD",
"address_2": "SUITE 250",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309044887",
"telephone_number": "706-724-6543",
"fax_number": "206-350-9023"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KHAL",
"first_name": "CHRISTINA",
"middle_name": "SAMAR",
"credential": "MSOT, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-04-20",
"last_updated": "2015-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT006175",
"primary": true
},
{
"code": "225XM0800X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Mental Health",
"state": "GA",
"license": "OT006175",
"primary": false
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "GA",
"license": "OT006175",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "GA",
"license": "OT006175",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.