ASHLEY NICOLE MAXWELL (NPI# 1174042972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174042972 |
| Entity Type | Individual |
| Full Name | ASHLEY NICOLE MAXWELL |
| Credential | OTR/L |
| Practice Address |
90 E Stephens St Camilla GA 31730-1836 |
| Practice Telephone | 2293364619 |
| Mailing Telephone | 2293364619 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-12 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT006830 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124384839 | Ashley Elizabeth Maxwell | Speech-Language Pathologist | 1297 Briarwood Rd Ne, Atlanta, GA 30319-3843 | 2012-04-06 |
| 1316506793 | Ashley Maxwell | Behavior Technician | 751 Camino Plz, Suite A, San Bruno, CA 94066-3401 | 2019-06-10 |
| 1093184111 | Ashley Maxwell | Physical Therapist | 44200 Woodward Ave, Suite 11, Pontiac, MI 48341-5045 | 2015-09-18 |
| Street Address |
90 E STEPHENS ST |
| City | CAMILLA |
| State | GA |
| Zip Code | 31730-1836 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700830247 | Hospital Authority of Mitchell County | General Acute Care Hospital | 90 E Stephens St, Camilla, GA 31730-1836 | 2006-05-20 |
| 1710478771 | Carly Mccook | Speech-Language Pathologist | 90 E Stephens St, Camilla, GA 31730-1836 | 2018-05-25 |
| 1811497209 | Caitlin Fletcher | Occupational Therapist | 90 E Stephens St, Camilla, GA 31730-1836 | 2018-02-13 |
| 1053810424 | Ashley Abt | Nurse Practitioner | 90 E Stephens St, Camilla, GA 31730-1836 | 2018-02-12 |
| 1760838395 | Southland Bainbridge Hospitalist Group, LLC | Hospitalist | 90 E Stephens St, Camilla, GA 31730-1836 | 2016-05-12 |
| 1235583857 | Hospital Authority of Mitchell County | Radiology | 90 E Stephens St, Camilla, GA 31730 | 2016-04-20 |
| 1104270727 | Hospital Authority of Mitchell County | Radiology | 90 E Stephens St, Camilla, GA 31730 | 2016-04-20 |
| 1740634336 | Hospital Authority of Mitchell County | Radiology | 90 E Stephens St, Camilla, GA 31730 | 2016-04-20 |
| 1902044589 | Heather Michele Griffin | Occupational Therapist | 90 E Stephens St, Camilla, GA 31730-1836 | 2009-02-04 |
| 1376781815 | Cheryl L Jordan | Occupational Therapist | 90 E Stephens St, Camilla, GA 31730-1836 | 2009-01-21 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700310059 | Phoebe Primary Care of Camilla | Clinic/Center | 725 Us Highway 19 S, Camilla, GA 31730 | 2017-04-13 |
| 1134661028 | Montreal Biggins Sr. | Counselor | 198 South Mcarthur Drive, Camilla, GA 31730 | 2016-11-09 |
| 1447639307 | Ledora Inman | Counselor | 198 S. Mac Arthur Drive, Camila, GA 31730 | 2015-05-26 |
| 1336533652 | Southern Therapeutic Massage Studio LLC | Massage Therapist | 88 W. Broad St, Camilla, GA 31730 | 2015-03-25 |
| 1013306604 | Jamekah Brooks | Counselor | 198 S Macarthur Drive, Camilla, GA 31730 | 2015-01-20 |
| 1063811651 | Develle Miller | Counselor | 198 S. Macarthur, Camilla, GA 31730 | 2014-08-19 |
| 1679980247 | Amanda Bryant | Counselor | 198 S. Macarthur Dr., Camilla, GA 31730 | 2014-07-16 |
| 1578993945 | Ted Hall | Counselor | 218 S. Mcarthur Drive, Camilla, GA 31730 | 2013-11-20 |
| 1700216280 | Michael D Fowler I | Case Management | 198 S. Macarthur Drive, Camilla, GA 31730 | 2013-11-19 |
| 1750644753 | Sally Niazi | Pharmacist | 266 E Broad Street, Camilla, GA 31730 | 2012-06-25 |
| Find all providers in zip 31730 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811497209 | Caitlin Fletcher | Occupational Therapist | 90 E Stephens St, Camilla, GA 31730-1836 | 2018-02-13 |
| 1801274428 | Katy L. Lewis | Occupational Therapist | 99 E Broad St, Camilla, GA 31730-1807 | 2015-05-14 |
| 1902044589 | Heather Michele Griffin | Occupational Therapist | 90 E Stephens St, Camilla, GA 31730-1836 | 2009-02-04 |
| 1376781815 | Cheryl L Jordan | Occupational Therapist | 90 E Stephens St, Camilla, GA 31730-1836 | 2009-01-21 |
| 1184830838 | Shenika Laverne Jackson | Occupational Therapist | 251 Us Highway 19 N, Camilla, GA 31730-1410 | 2007-05-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063011849 | Edc Home Modifications LLC | Occupational Therapist | 2674 Flair Knoll Dr Ne, Atlanta, GA 30345-1318 | 2020-10-22 |
| 1952900912 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 113 Poplar Springs Rd, Ringgold, GA 30736-2808 | 2020-10-21 |
| 1023617305 | Evaline J Trevias | Occupational Therapist | 125 Appleby Dr, Athens, GA 30605-1748 | 2020-10-19 |
| 1447858105 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 5575 New Northside Dr Ste 100, Sandy Springs, GA 30339-5334 | 2020-10-15 |
| 1811595820 | Karen Hefter | Occupational Therapist | 105 Shirewood Park, Peachtree City, GA 30269-1160 | 2020-10-12 |
| 1700493350 | Kristina Rae Molina-croes | Occupational Therapist | 5822 Barkley Ln, Hahira, GA 31632-3025 | 2020-09-28 |
| 1497362107 | Robin T Underwood | Occupational Therapist | 2335 Briarleigh Way, Dunwoody, GA 30338-7005 | 2020-09-26 |
| 1861008880 | India Shae Hawk | Occupational Therapist | 616 Millstone Dr, Evans, GA 30809-5173 | 2020-09-16 |
| 1548874985 | Dana Tindell | Occupational Therapist | 7792 Coffee Rd, Boston, GA 31626-3945 | 2020-09-02 |
| 1982217964 | Vertex Therapy Services | Occupational Therapist | 264 19th St Nw Unit 2321, Atlanta, GA 30363-1150 | 2020-08-28 |
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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.