Active NPI
Taylor Lawrence
- Hand Occupational Therapist
- Jonesboro, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT008712
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physiotherapy Associates Inc | Current | Accepting new patients | |
| Physiotherapy Associates Inc | Current | 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.
-
dba Physio-Gwinnett
- Physical Therapy Clinic/Center
- Lilburn, GA
- NPI 1760568257
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Estero, FL
- NPI 1720039902
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.