Active NPI
Charita Dionne Ward, OTR/L
- Occupational Therapist
- Moultrie, GA
National Provider Identifier
1902118151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT004480
- Practice address
- 101 Cobblestone Trce SE
Moultrie, GA 31788-7747 - Phone
- (229) 985-3637
- NPI assigned
- Jul 4, 2010
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 113682 | TX | |
| Occupational Therapist | 225X00000X | OT004480 | GA | Primary |
Addresses
Primary practice location
101 Cobblestone Trce SE
Moultrie, GA 31788-7747
Mailing address
109 Heisman Way
Thomasville, GA 31792-7104
Phone (229) 224-2380
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT004480 | GA | MD | Occupational Therapist |
| 113682 | TX | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1278201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616630400000",
"number": "1902118151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 HEISMAN WAY",
"city": "THOMASVILLE",
"state": "GA",
"postal_code": "317927104",
"telephone_number": "229-224-2380"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 COBBLESTONE TRCE SE",
"city": "MOULTRIE",
"state": "GA",
"postal_code": "317887747",
"telephone_number": "229-985-3637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WARD",
"first_name": "CHARITA",
"middle_name": "DIONNE",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-07-04",
"last_updated": "2021-03-25",
"certification_date": "2021-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "113682",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT004480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Moultrie, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.