Active NPI
Heather Michele Griffin, O.T.
- Occupational Therapist
- Camilla, GA
National Provider Identifier
1902044589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT004556
- Practice address
- 90 E Stephens St
Camilla, GA 31730-1836 - Phone
- (229) 336-5284
- Fax
- (229) 336-5878
- NPI assigned
- Feb 4, 2009
- Last updated
- Feb 4, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT004556 | GA | Primary |
Addresses
Primary practice location
90 E Stephens St
Camilla, GA 31730-1836
Mailing address
90 E Stephens St
Camilla, GA 31730-1836
Phone (229) 336-5284
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT004556 | Other | GA | LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT004556 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1233705600000",
"number": "1902044589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "90 E STEPHENS ST",
"city": "CAMILLA",
"state": "GA",
"postal_code": "317301836",
"telephone_number": "229-336-5284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "90 E STEPHENS ST",
"city": "CAMILLA",
"state": "GA",
"postal_code": "317301836",
"telephone_number": "229-336-5284",
"fax_number": "229-336-5878"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRIFFIN",
"first_name": "HEATHER",
"middle_name": "MICHELE",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-02-04",
"last_updated": "2009-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT004556",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "OT004556",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Camilla, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.