Cheng Cha, COTA
Individual provider Active NPI Occupational Therapy Assistant · Winder, GA
NPI 1831413178 · NPPES record last updated Aug 28, 2019
Key facts
- NPI
- 1831413178
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OTA002281 (GA)
- Practice address
- 422 Renown CT
Winder, GA 30680-4022 - Phone
- (678) 898-9404
- NPI assigned
- Mar 15, 2010
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| OTA002281 | GA | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA002281 | GA | Yes |
Addresses
Primary practice location
422 Renown CT
Winder, GA 30680-4022
Mailing address
5266 Capac Rd
Mussey, MI 48014-1901
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1 | Other | MEDICARE |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Winder |
Other providers in Winder, GA
- Careview Home Health LLC
- Carmichaels Home Medical Equipment Inc
- Rodney Carter
- David Alan Causey
- CF Health & Wellness Inc.
- Childrens Communication Solutions LLC
- Chari Leh Chin Young Caston
- Joshua Heejae Choi
- Duoc Ung Chung
- Antwan Clark
All providers in Winder, 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 Aug 28, 2019. 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.