Vanessa Sablon, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA002791 Issued in GA

Practice address

6234 Lullwater Dr
Douglasville, GA 30135-3722

Phone

(678) 492-7216

NPI assigned

Dec 12, 2022

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670803200000",
    "number": "1841901808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6234 LULLWATER DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301353722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6234 LULLWATER DR",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301353722",
            "telephone_number": "678-492-7216"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SABLON",
        "first_name": "VANESSA",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA002791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Josette Rutland-Burrus
• Bethany Lowe Ryan
• Hanif Sa Shekhem
• Carolynn Saba
• Sablon Medical Group LLC
• Jamie Marsha Sachs, PA
• Sacred Arts Childbirth Services
• Eraj Saeed
• Sonya Saeed
• Ramin Saghafi, M.D.

• Occupational Therapy Assistant in Douglasville, GA
• Providers in Douglasville, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; 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.