Parris Montague Crain
Individual provider Active NPI Pediatric Occupational Therapist · Locust Grove, GA
NPI 1962766030 · NPPES record last updated Oct 3, 2019
Key facts
- NPI
- 1962766030
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatric Occupational Therapist 225XP0200X
- License
- OT005225 (GA)
- Practice address
- 608 Winners Cir
Locust Grove, GA 30248-6024 - Phone
- (901) 871-8731
- Fax
- (404) 601-5880
- NPI assigned
- Jul 3, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gifted Therapy Services, LLC | Occupational Therapist | Current |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Pediatric Occupational Therapist | 225XP0200X | OT005225 | GA | Yes |
Addresses
Primary practice location
608 Winners Cir
Locust Grove, GA 30248-6024
Mailing address
608 Winners Cir
Locust Grove, GA 30248-6024
Phone (901) 871-8731
Other practice location 1
709 Crescent Cir
Ste 300
Canton, GA 30115-4772
Phone (844) 543-8437
Other providers in Locust Grove, GA
- Correctmed Locust Grove, LLC
- Correctmed Scott, LLC
- James Wesley Cosnahan
- Madison N Couch
- Angela Leigh Craig
- Justin Crumpton
- Denna Crutchfield
- D3 Xpress Transport LLC
- Ashley Dashevsky
- Chavonn Done Davidson-Smith
All providers in Locust Grove, GA · Pediatric Occupational Therapist in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 3, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.