Individual provider Active NPI

Ashley Wright Tillery, MS OTR/L

  • Occupational Therapist
  • Cumming, GA
National Provider Identifier
1831956390
Registry record updated Jun 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT Issued in GA
Practice address
4640 Martin Rd
Cumming, GA 30041-5542
Phone
(678) 679-1261
Fax
(678) 250-9010
NPI assigned
Mar 1, 2024
Last updated
Jun 2, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT GA Primary

Addresses

Primary practice location

4640 Martin Rd
Cumming, GA 30041-5542

Mailing address

4640 Martin Rd
Cumming, GA 30041-5542
Phone (678) 679-1261

Other practice location 1

29425 Rivercrest Dr.
Gainesville, GA 30507
Phone (678) 617-6726

Other practice location 2

145 Evergreen Ter
Winterville, GA 30683-3213
Phone (404) 844-6197

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OTGAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Flourish Therapy Service, LLC Occupational Therapist CurrentSince May 25, 2025 Accepting new patients
Essential Therapy Services, Inc. Occupational Therapist CurrentSince Oct 21, 2025 Accepting new patients
Essential Therapy Services Occupational Therapist PastSince Mar 3, 2024 Accepting new patients
OT Therapy Works Past Accepting new patients

Locations

4640 Martin Rd
Cumming, GA 30041
Phone (678) 679-1261

5286 Mountain Center Plz
Lula, GA 30554
Phone (678) 679-1261

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748822400000",
    "number": "1831956390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 MARTIN RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415542",
            "telephone_number": "678-679-1261",
            "fax_number": "678-250-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 MARTIN RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415542",
            "telephone_number": "678-679-1261",
            "fax_number": "678-250-9010"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29425 Rivercrest Dr.",
            "address_purpose": "LOCATION",
            "city": "Gainesville",
            "state": "GA",
            "postal_code": "30507",
            "country_code": "US",
            "telephone_number": "678-617-6726",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 Evergreen Ter",
            "address_purpose": "LOCATION",
            "city": "Winterville",
            "state": "GA",
            "postal_code": "306833213",
            "country_code": "US",
            "telephone_number": "404-844-6197",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TILLERY",
        "first_name": "ASHLEY",
        "middle_name": "WRIGHT",
        "credential": "MS OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2025-06-02",
        "certification_date": "2025-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2025; 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.