Elizabeth Chambers, OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT004043 Issued in GA

Practice address

40 Professional Dr
Jefferson, GA 30549-6333

Phone

(706) 367-1141

Fax

(706) 367-1142

NPI assigned

May 24, 2007

Last updated

Apr 15, 2019By 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 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Milestone Pediatric Therapy Services, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Jefferson, GA
  • NPI 1679915284
  NPD (past) Authorized official

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555286400000",
    "number": "1922219633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 JEFFERSON WALK CIR",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305495573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 PROFESSIONAL DR",
            "city": "JEFFERSON",
            "state": "GA",
            "postal_code": "305496333",
            "telephone_number": "706-367-1141",
            "fax_number": "706-367-1142"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "526 Jefferson Walk Cir",
            "address_purpose": "LOCATION",
            "city": "Jefferson",
            "state": "GA",
            "postal_code": "305495573",
            "country_code": "US",
            "telephone_number": "770-378-5986",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHAMBERS",
        "first_name": "ELIZABETH",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2019-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT004043",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "372085900B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Martha Mackenzie Carlson, ED. S., CCC-SLP
• Carter Treatment Center
• Kia Carter, PHARMD
• Carter's Group Home, Inc
• Hunter Cavanaugh
• Keith Edwin Chapman, RPH
• Cherished Creations
• Cherished Creations, LLC
• Trevor Christensen
• Alexis Clagon

• Pediatric Occupational Therapist in Jefferson, GA
• Providers in Jefferson, 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 Apr 15, 2019; 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.