Organization Active NPI

OT Stat Inc.

Doing business as North Georgia Rehab Inc.

  • Durable Medical Equipment & Medical Supplies
  • Gainesville, GA
National Provider Identifier
1881745875
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
OT STAT INC.
Doing business as
North Georgia Rehab Inc.
Practice address
852 Oak St
Gainesville, GA 30501-3570
Phone
(770) 503-7504
NPI assigned
Jan 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. William Dyer
Title
Owner
Phone
(770) 503-7504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X Primary

Addresses

Primary practice location

852 Oak St
Gainesville, GA 30501-3570

Mailing address

852 Oak St
Gainesville, GA 30501-3570
Phone (770) 503-7504

Other identifiers 1

IdentifierTypeStateIssuer
00571293AMedicaidGA

Other names 1

  • North Georgia Rehab Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

852 Oak St
Gainesville, GA 30501
Phone (770) 503-7504

NPI Registry JSON

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

{
    "created_epoch": "1168905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881745875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "852 OAK ST",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013570",
            "telephone_number": "770-503-7504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "852 OAK ST",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013570",
            "telephone_number": "770-503-7504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OT STAT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DYER",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-503-7504",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00571293A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "North Georgia Rehab Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.