Individual provider Active NPI

Partha Bhanja

  • Occupational Therapist
  • Duluth, GA
National Provider Identifier
1841694080
Registry record updated Jun 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT005960 Issued in GA
Practice address
8770 Glasgow Pointe
Duluth, GA 30097-6606
Phone
(440) 497-8498
NPI assigned
Oct 17, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2021

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 OT005960 GA Primary

Addresses

Primary practice location

8770 Glasgow Pointe
Duluth, GA 30097-6606

Mailing address

8770 Glasgow Pointe
Duluth, GA 30097-6606

Other identifiers 1

IdentifierTypeStateIssuer
OT005960OtherGASTATE LICENSE

Other names 1

  • Partha Bhanja Professional name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
1Source Fitness & Sports-Neuro Rehab LLC CurrentSince Jun 1, 2018 Accepting new patients
Atlanta One Stop Therapy LLC Occupational Therapist CurrentSince Jan 1, 2022 Accepting new patients

Locations

367 Athens Hwy
Ste 1150
Loganville, GA 30052
Phone (678) 257-4037

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623024000000",
    "number": "1841694080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8770 GLASGOW POINTE",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300976606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8770 GLASGOW POINTE",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300976606",
            "telephone_number": "440-497-8498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BHANJA",
        "first_name": "PARTHA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-17",
        "last_updated": "2021-06-07",
        "certification_date": "2021-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OT005960",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PARTHA",
            "last_name": "BHANJA",
            "credential": "OT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Duluth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2021; 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.