Elizabeth Jayne Baughn, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Martinez, GA
NPI 1780103218 · NPPES record last updated Sep 15, 2017
Key facts
- NPI
- 1780103218
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OTA001340 (GA)
- Practice address
- 3580 River Watch Pkwy
Martinez, GA 30907-3682 - Phone
- (706) 364-3470
- NPI assigned
- Sep 15, 2017
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
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 |
|---|---|---|---|
| OTA001340 | GA | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sensational Kids Pediatric Rehabilitation & Counseling, Inc. | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA001340 | GA | Yes |
Addresses
Primary practice location
3580 River Watch Pkwy
Martinez, GA 30907-3682
Mailing address
157 Ashley Cir
Augusta, GA 30907-1349
Phone (706) 631-7500
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTA001340 | Other | GA | GEORGIA LICENSING BOARD |
Other providers in Martinez, GA
- Angela Bates
- Teresa Ann Bates
- Shoba Battu
- Christopher C. Bauer
- Summer Baughcum
- Kelli Cristine Bays
- Emily Beall
- Paula E Beckman
- Behavioral Discoveries, Inc.
- Yafet Bekele
All providers in Martinez, 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 Sep 15, 2017. 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.