Faresa N Petti Daniel, COTA

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

002516 Issued in GA

Practice address

All About Kids Therapy Service
545 Old Norcross Road
Lawrenceville, GA 30092

Phone

(678) 377-2882

NPI assigned

Sep 24, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Faresa Petti Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686528000000",
    "number": "1972837813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "259 MISTY GROVE DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300526623",
            "telephone_number": "917-470-5574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "ALL ABOUT KIDS THERAPY SERVICE",
            "address_2": "545 OLD NORCROSS ROAD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "30092",
            "telephone_number": "678-377-2882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETTI DANIEL",
        "first_name": "FARESA",
        "middle_name": "N",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "002516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FARESA",
            "last_name": "PETTI",
            "credential": "COTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Loritz Petit-Homme
• Richard G Petit, P.A.
• Mary Petner, LMSW
• Carolyn Barnwell Petrey, DO
• Kathryn Ann Petterson, PH.D.
• Donald Minh Pham, M.D.
• Hongvien Pham, PHARM D
• Jamila-Duyen P Pham, MD
• Jessica Pham, PHARM D
• Tu Oai Vu Pham, CSA

• Occupational Therapist in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.