Allya Allaway, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Snellville, GA
NPI 1750831590 · NPPES record last updated Oct 5, 2016
Key facts
- NPI
- 1750831590
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OTA001897 (GA)
- Practice address
- 2295 Henry Clower Blvd
Suite 100
Snellville, GA 30078-5707 - Phone
- (770) 995-9600
- Fax
- (678) 922-7124
- NPI assigned
- Oct 5, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA001897 | GA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allaway Angels | Current | Accepting new patients | |
| Rightstart Therapy Service, Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA001897 | GA | Yes |
Addresses
Primary practice location
2295 Henry Clower Blvd
Suite 100
Snellville, GA 30078-5707
Mailing address
1112 Estuary TRL
Alpharetta, GA 30005-3071
Phone (404) 825-5656
Other providers in Snellville, GA
- Align Hospice Care,LLC
- Chinwe Nwabundo Aligwekwe
- All About Tender Care Snellville LLC
- All Angel Care,LLC
- All Angel Care,LLC
- Andrena Allen
- Ikekeric Allen
- Paul E. L Allen Sr.
- Tika Monique Allen
- Richard Allgood
All providers in Snellville, GA · Occupational Therapy Assistant in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 5, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.