Individual provider Active NPI

Taylor Lawrence

  • Hand Occupational Therapist
  • Jonesboro, GA
National Provider Identifier
1871207357
Registry record updated Jan 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT008712 Issued in GA
Practice address
335 Upper Riverdale Rd Ste B10
Jonesboro, GA 30236-1071
Phone
(912) 667-6045
NPI assigned
Jan 10, 2023
Last updated
Jan 10, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 10, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT008712 GA Primary

Addresses

Primary practice location

335 Upper Riverdale Rd Ste B10
Jonesboro, GA 30236-1071

Mailing address

378 5TH St NE Apt 2
Atlanta, GA 30308-3734
Phone (912) 667-6045

Other practice location 1

1995 N Park Pl SE Ste 410
Atlanta, GA 30339-2072
Phone (912) 667-6045

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241217000234 GA Practitioner - Occupational Therapist in Private Practice 0345777249 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physiotherapy Associates Inc CurrentSince Oct 1, 2024 Accepting new patients
Physiotherapy Associates Inc CurrentSince Oct 1, 2024 Accepting new patients

Locations

1995 N Park Pl SE
Ste 410
Atlanta, GA 30339
Phone (770) 850-0390

335 Upper Riverdale Rd
Ste B10
Jonesboro, GA 30236
Phone (770) 907-4753

966A Killian Hill Rd SW
Lilburn, GA 30047
Phone (770) 923-4815

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, 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": "1673308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673308800000",
    "number": "1871207357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "378 5TH ST NE APT 2",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303083734",
            "telephone_number": "912-667-6045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "335 UPPER RIVERDALE RD STE B10",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302361071",
            "telephone_number": "912-667-6045"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1995 N Park Pl SE Ste 410",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303392072",
            "country_code": "US",
            "telephone_number": "912-667-6045",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAWRENCE",
        "first_name": "TAYLOR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-01-10",
        "last_updated": "2023-01-10",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "GA",
            "license": "OT008712",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.