Joshua Powell

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA001858 Issued in GA

Practice address

202 W Park Ave
Valdosta, GA 31602-2507

Phone

(229) 253-8500

NPI assigned

Mar 24, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Jke Properties LLC

  dba Mary's Haven Personal Care Home

  • Adult Care Home Facility
  • Adel, GA
  • NPI 1184342065
  NPD Authorized official

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1427155200000",
    "number": "1871987222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 W PARK AVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022507",
            "telephone_number": "229-253-8500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 W PARK AVE",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316022507",
            "telephone_number": "229-253-8500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-03-24",
        "last_updated": "2015-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA001858",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEORGIA SECRETARY OF STATE",
            "identifier": "OTA001858",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Selina Joy Popovich-Evans, LMSW,CACII
• Molly B Porter, MS MFT
• Hernan N Posas Jr., M.D.
• Gabrielle Potts
• Lewis L Potyondy, M.D.
• Laura L Powell, M.ED.CCC/SLP
• Pamela W Powell, ARNP
• Patrick W. Powell
• Brittany Elise Pratt
• Shaleta Preaster, LCSW

• Occupational Therapy Assistant in Valdosta, GA
• Providers in Valdosta, 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 Mar 24, 2015; 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.