Skylar Rose Grant

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT009937 Issued in GA

Practice address

290 Brandywine Blvd
Fayetteville, GA 30214-1560

Phone

(770) 460-0165

NPI assigned

Jul 27, 2026

Last updated

Jul 27, 2026By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Skylar Rose Dzenis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Hands on Healing PC

  • Occupational Therapist
  • Fayetteville, GA
  • NPI 1710011804
  NPD (past)

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785110400000",
    "number": "1902728769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 SADDLEBROOK DR",
            "city": "SENOIA",
            "state": "GA",
            "postal_code": "302763200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "290 BRANDYWINE BLVD",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141560",
            "telephone_number": "770-460-0165"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "119 Price Rd",
            "address_purpose": "LOCATION",
            "city": "Brooks",
            "state": "GA",
            "postal_code": "302051812",
            "country_code": "US",
            "telephone_number": "770-461-0005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GRANT",
        "first_name": "SKYLAR",
        "middle_name": "ROSE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-07-27",
        "certification_date": "2026-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT009937",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SKYLAR",
            "last_name": "DZENIS",
            "middle_name": "ROSE",
            "credential": "OTD, OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sherome Graham, FNP
• Michael W Granger, DMD
• Ann Marie Coleman Grant, CCC-SLP
• Kennedy Grant, RBT
• Priscella Grant
• Sharmane Marie Gray, MD
• Charlotte Elizabeth Grayson- Mathis, M.D.
• Christa Grayson, CADC-II
• Greater Atlanta Youth Development Corporation
• Greater Georgia Behavioral Health

• Pediatric Occupational Therapist in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 27, 2026; 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.