Active NPI
Katarika Banks Lewis
- Occupational Therapist
- Hartwell, GA
National Provider Identifier
1841850591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT003764
- Practice address
- 261 Fairview Ave
Hartwell, GA 30643-2247 - Phone
- (706) 376-7121
- NPI assigned
- Jun 15, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT003764 | GA | Primary |
Addresses
Primary practice location
261 Fairview Ave
Hartwell, GA 30643-2247
Mailing address
30 Long Point LN
Sharpsburg, GA 30277-3574
Phone (678) 489-7028
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1560556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560556800000",
"number": "1841850591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30 LONG POINT LN",
"city": "SHARPSBURG",
"state": "GA",
"postal_code": "302773574",
"telephone_number": "678-489-7028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "261 FAIRVIEW AVE",
"city": "HARTWELL",
"state": "GA",
"postal_code": "306432247",
"telephone_number": "706-376-7121"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LEWIS",
"first_name": "KATARIKA",
"middle_name": "BANKS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-06-15",
"last_updated": "2019-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT003764",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hartwell, GA
Sources for this page
- 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.