JAN WALDT (NPI# 1043579683) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043579683 |
| Entity Type | Individual |
| Full Name | JAN WALDT |
| Credential | OT |
| Practice Address |
3870 Pleasant Hill Rd Suite 1 Duluth GA 30096-4807 |
| Practice Telephone | 4044251100 |
| Practice Fax Number | 4044251181 |
| Mailing Telephone | 4044251100 |
| Mailing Fax Number | 4044251181 |
| Enumeration Date | 2012-05-15 |
| Last Update Date | 2012-06-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
000693 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3870 PLEASANT HILL RD SUITE 1 |
| City | DULUTH |
| State | GA |
| Zip Code | 30096-4807 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811135916 | Peachtree Orthopaedic Clinic | Durable Medical Equipment & Medical Supplies | 3870 Pleasant Hill Rd, Suite #1, Duluth, GA 30096-4807 | 2009-01-27 |
| 1528462330 | Christine Mildenberger | Physical Therapist | 3870 Pleasant Hill Rd, Suite 1, Duluth, GA 30096-4807 | 2014-10-22 |
| 1861822660 | Peachtree Orthopaedic Clinic, PC | Pharmacy | 3870 Pleasant Hill Rd, Suite 1-mod C, Duluth, GA 30096-4807 | 2013-11-15 |
| 1982033155 | Peachtree Orthopaedic Clinic, PC | Pharmacy | 3870 Pleasant Hill Rd, Suite 1-mod B, Duluth, GA 30096-4807 | 2013-11-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922615897 | Georgia Eye Optical, LLC | Ophthalmology | 3800 Pleasant Hill Rd Ste 3, Duluth, GA 30096 | 2020-09-25 |
| 1568090868 | Positive Behavior Services, Inc | Behavior Technician | 3765 Crestwood Pkwy Nw, Duluth, GA 30096 | 2020-03-31 |
| 1861031940 | Elizabeth Ashley Edouard | Counselor | 3464 Duluth Hwy 120, Duluth, GA 30096 | 2020-01-06 |
| 1245701044 | Kathryn Irene Vaughn | Social Worker | 3968 Mainsail Court, Duluth, GA 30096 | 2018-12-06 |
| 1083184626 | Aica Orthopedics, P.C. | Orthopaedic Surgery | 3775 Venture Drive Bldg F, Duluth, GA 30096 | 2018-11-27 |
| 1245709799 | Positive Impact Health Centers, Inc. | Pharmacy | 3350 Breckinridge Blvd, Suite 200a, Duluth, GA 30096 | 2018-11-14 |
| 1235611724 | Katherine Winstead Knott | Counselor | 3460 Summit Ridge Parkway, Suite 503, Duluth, GA 30096 | 2018-08-31 |
| 1710467857 | Envision Optics LLC | Optometrist | 1943 Pleasant Hill Rd, Duluth, GA 30096 | 2018-08-17 |
| 1104314202 | Erin Mckernan Scupham | Chiropractor | 3820 Pleasant Hill Rd. Ne, Suite 4, Duluth, GA 30096 | 2018-04-25 |
| 1053839456 | Rogers Bridge Pediatric Therapy, LLC | Clinic/Center | 2845 Summercrest Ln, Duluth, GA 30096 | 2017-09-06 |
| Find all providers in zip 30096 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548727506 | Sherry Easton Johnson | Occupational Therapist | 3850 Pleasant Hill Rd Unit 1, Duluth, GA 30096-4807 | 2019-02-26 |
| 1972889491 | Hand To Shoulder Therapy Specialists of Duluth | Occupational Therapist | 3400 Mcclure Bridge Rd, F601, Duluth, GA 30096-6675 | 2011-10-28 |
| 1528164571 | Nicole Duncan | Occupational Therapist | 1000 E 1st St, Ste 400, Duluth, MN 55805-2297 | 2006-09-16 |
| 1205932258 | Tonya Benzie | Occupational Therapist | 1420 London Rd, Suite 102, Duluth, MN 55805-2433 | 2006-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801387907 | Joseph Edward Shaw IIi | Occupational Therapist | 655 Molly Ln Ste 4, Woodstock, GA 30189-6503 | 2018-05-23 |
| 1821538216 | Ariana Madrid | Occupational Therapist | 2061 Peachtree Rd Ne Ste 450, Atlanta, GA 30309-1445 | 2017-03-03 |
| 1669915443 | Maria Isabel Posada | Occupational Therapist | 1285 Hembree Rd Ste 200, Roswell, GA 30076-5720 | 2016-11-28 |
| 1386031656 | Rachel Chariton | Occupational Therapist | 2300a Manchester Expy Ste 101b, Columbus, GA 31904-6812 | 2015-04-23 |
| 1356783757 | Hand Therapy Services, Inc. | Occupational Therapist | 5 Medical Dr Ne, Cartersville, GA 30121-8003 | 2013-07-25 |
| 1164765939 | Phyllis Nessell Denton | Occupational Therapist | 1851 Shoreline Trce, Grayson, GA 30017-1166 | 2013-03-31 |
| 1326396136 | North Georgia Hand Therapy, LLC | Occupational Therapist | 765 Peachtree Pkwy, Suite 2, Cumming, GA 30041-9522 | 2012-08-28 |
| 1568746568 | Donna Hall-rosenthal | Occupational Therapist | 4510 Nelson Brogdon Blvd, Buford, GA 30518-3478 | 2011-10-10 |
| 1770746729 | Alexis Ventimglia Najarro | Occupational Therapist | 2061 Peachtree Road, Suite 500, Atlanta, GA 30309 | 2008-07-09 |
| 1932306305 | Holley Hand Therapy, Inc. | Occupational Therapist | 140 Vann St Ne Ste 430, Marietta, GA 30060-7297 | 2007-06-29 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.