Misty Rachae Hargrove, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA001135 Issued in GA

Practice address

809 S Broad St SW
Rome, GA 30161-4654

Phone

(706) 235-1337

NPI assigned

Nov 21, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1353456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1353456000000",
    "number": "1720322282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "272 SUNSET DR",
            "city": "SUMMERVILLE",
            "state": "GA",
            "postal_code": "307477045",
            "telephone_number": "706-331-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S BROAD ST SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301614654",
            "telephone_number": "706-235-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HARGROVE",
        "first_name": "MISTY",
        "middle_name": "RACHAE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-21",
        "last_updated": "2012-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA001135",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harborview Rome, LLC
• Brian Corey Hard, MD
• Melissa Anne Hardison, NP-C
• John Kevin Hardwell, M.D.
• David Anthony Hardwick, MSRS RRA RPA RT R
• Richard D. Hark, PH.D.
• Andrew Sherman Wesley Harper, MMSC, PA-C
• Kelveisha Tyrae Harper, FNP-C
• Landon Harper, PT, DPT
• Mary Ann Harper, RPH

• Occupational Therapy Assistant in Rome, GA
• Providers in Rome, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; 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.