Damali Abenaa Whitfield, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT005355 Issued in GA

Practice address

4992 Bristol Industrial Way
Buford, GA 30518-1742

Phone

(770) 904-6419

Fax

(770) 904-6418

NPI assigned

Dec 8, 2011

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)

Enrolled

State licenses

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560556800000",
    "number": "1831467562",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1138 LANIER SPRINGS DR",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305187271",
            "telephone_number": "718-772-7199",
            "fax_number": "770-904-6418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4992 BRISTOL INDUSTRIAL WAY",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305181742",
            "telephone_number": "770-904-6419",
            "fax_number": "770-904-6418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITFIELD",
        "first_name": "DAMALI",
        "middle_name": "ABENAA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2019-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT005355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wellstreet of Georgia PC
• Leigh Regine Westergren, LCSW
• Hannah Lee Wheeler, PA-C
• Emily White, PH.D., BCBA-D
• Gloria White
• Wickshire Buford Opco LLC
• Emma Nicole Wilbanks
• Teairah Wilbert
• Stefanie Lee Willard, OTRL
• Crystal Williams, RN

• Pediatric Occupational Therapist in Buford, GA
• Providers in Buford, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2019; 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.