Susan Adcox
Individual provider Active NPI Occupational Therapist · Fayetteville, GA
NPI 1992220446 · NPPES record last updated Aug 6, 2017
Key facts
- NPI
- 1992220446
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OT000499 (GA)
- Practice address
- 290 Brandywine Blvd
Fayetteville, GA 30214-1560 - Phone
- (770) 460-0165
- NPI assigned
- Aug 6, 2017
- Sex
- Female
- Sole proprietor
- Yes
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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT000499 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hands on Healing PC | Occupational Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT000499 | GA | Yes |
Addresses
Primary practice location
290 Brandywine Blvd
Fayetteville, GA 30214-1560
Mailing address
407 Mount Vernon Trce
Peachtree City, GA 30269-2641
Phone (404) 663-9058
Other providers in Fayetteville, GA
- Aaron L. Adams
- Andrea J Adams
- Bereshith Noah Adams
- Judonn Theophilous Adams
- Katiana Adams
- William Clint Adcox
- Michelle Adegbemle
- Maryanne Adewakun
- Wasiu Femi Adisa
- Advance 1 Ambulance LLC
All providers in Fayetteville, GA · 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 Aug 6, 2017. 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.