Michelle Waters, OTR

Primary specialty

SpecialistTaxonomy code 174400000X

License

OT000395 Issued in GA

Practice address

155 1St Ave
Cochran, GA 31014-5740

Phone

(478) 954-3711

Fax

(478) 954-3711

NPI assigned

Apr 17, 2013

Sex

Female

Sole proprietor

Yes

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

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Michelle Waters Therapy Inc

  • Occupational Medicine Clinic/Center
  • Cochran, GA
  • NPI 1881937878
  NPD (past) Authorized official
• Rehab Advantage and Sports Medicine, Inc

  • Rehabilitation Practitioner
  • Dublin, GA
  • NPI 1518995216
  NPD (past)

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366156800000",
    "number": "1770926008",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 1ST AVE",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310145740",
            "telephone_number": "478-954-3711",
            "fax_number": "478-954-3711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 1ST AVE",
            "city": "COCHRAN",
            "state": "GA",
            "postal_code": "310145740",
            "telephone_number": "478-954-3711",
            "fax_number": "478-954-3711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WATERS",
        "first_name": "MICHELLE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-17",
        "last_updated": "2013-04-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "OT000395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Taylor Regional Hospital
• Taylor Regional Hospital
• Angela Tillman
• Mallory Trawick
• Wal-Mart Stores East LP
• Regina Phillips Wiley, NP
• Amy D Williams, MED CRC LPC
• William Lee Wimberly, LMT
• Kathy Diane Wood, DC
• Rosanna Wynne, RN

• Specialist in Cochran, GA
• Providers in Cochran, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2013; 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.