Individual provider Active NPI

Justin Asling Sawyer, COTA

  • Occupational Therapy Assistant
  • Flowery Branch, GA
National Provider Identifier
1699227231
Registry record updated Oct 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA002161 Issued in GA
Practice address
7367 Spout Springs Rd
Ste 125
Flowery Branch, GA 30542-5519
Phone
(770) 965-1861
Fax
(770) 965-1863
NPI assigned
Oct 31, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA002161 GA Primary

Addresses

Primary practice location

7367 Spout Springs Rd
Ste 125
Flowery Branch, GA 30542-5519

Mailing address

7367 Spout Springs Rd
Ste 125
Flowery Branch, GA 30542-5519
Phone (770) 965-1861

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
OTA002161GAMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1477872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1477872000000",
    "number": "1699227231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7367 SPOUT SPRINGS RD",
            "address_2": "STE 125",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305425519",
            "telephone_number": "770-965-1861",
            "fax_number": "770-965-1863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7367 SPOUT SPRINGS RD",
            "address_2": "STE 125",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305425519",
            "telephone_number": "770-965-1861",
            "fax_number": "770-965-1863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAWYER",
        "first_name": "JUSTIN",
        "middle_name": "ASLING",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-10-31",
        "last_updated": "2016-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA002161",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flowery Branch, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2016; 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.