Empower Therapy Solutions LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

EMPOWER THERAPY SOLUTIONS LLC

Practice address

5305 Reserve Dr NE
Brookhaven, GA 30319-5924

Phone

(770) 634-8410

NPI assigned

Aug 4, 2021

Last updated

Aug 4, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Amanda Rae Jackson, OTR/LNPI 1982143467

Title

Owner and Occupational Therapist

Phone

(770) 634-8410

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Jackson, OTR/L CPAM

  • Occupational Therapist
  • Brookhaven, GA
  • NPI 1982143467
  Authorized official Same address or phone

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

{
    "created_epoch": "1628035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628035200000",
    "number": "1689348658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5305 RESERVE DR NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303195924",
            "telephone_number": "770-634-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5305 RESERVE DR NE",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303195924",
            "telephone_number": "770-634-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWER THERAPY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-04",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OWNER AND OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "770-634-8410",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.