JD Occupational Therapy LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT005663 Issued in GA

Legal business name

JD OCCUPATIONAL THERAPY LLC

Practice address

575 Maple Forge Dr
Athens, GA 30606-1173

Phone

(706) 424-4394

Fax

(866) 753-4652

NPI assigned

Jun 11, 2015

Last updated

Jun 11, 2015By 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

Joanna Dusseau, OTR/LNPI 1154546679

Title

Owner

Phone

(706) 424-4394

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Joanna Dusseau, OTRL

  • Occupational Therapist
  • Cumming, GA
  • NPI 1154546679
  NPD (past) Authorized official

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

{
    "created_epoch": "1433980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433980800000",
    "number": "1699156919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "575 MAPLE FORGE DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061173",
            "telephone_number": "706-424-4394",
            "fax_number": "866-753-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "575 MAPLE FORGE DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061173",
            "telephone_number": "706-424-4394",
            "fax_number": "866-753-4652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JD OCCUPATIONAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-11",
        "last_updated": "2015-06-11",
        "status": "A",
        "authorized_official_last_name": "DUSSEAU",
        "authorized_official_first_name": "JOANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "706-424-4394",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005663",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OT005663",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Walter A Jarrett, M.D.
• Brendan Jarvis
• Jason Benton LLC
• Amanda Elizabeth Jasper, NP-C
• Marc Austin Jay, PT, MS
• Stanley Jean Louis
• Kathleen M Jeffery, MD
• Sadaf Jehangir
• Emerson Elizabeth Jenkins
• Francis Hugh Jenkins, MD

• Occupational Therapist in Athens, GA
• Providers in Athens, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2015; 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.