STEPHANIE WATTS (NPI# 1417095092) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417095092 |
| Entity Type | Individual |
| Full Name | STEPHANIE WATTS |
| Credential | OTR |
| Practice Address |
1050 Shiloh Rd Nw Ste 303 Kennesaw GA 30144-7197 |
| Mailing Address |
925 Laurel Crest Dr Woodstock GA 30189-6897 |
| Practice Telephone | 6787790842 |
| Mailing Telephone | 6787790842 |
| Enumeration Date | 2007-02-03 |
| Last Update Date | 2020-09-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
003025 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | STATE LICENSE | 003025 | 01 |
| GA | 146018154A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184122533 | Stephanie Watts | Licensed Practical Nurse | 11462 Wahrman St, Romulus, MI 48174-3860 | 2018-01-30 |
| 1780216416 | Stephanie Lynn Watts | Counselor | 9196 W Barnes Dr, Boise, ID 83709-1552 | 2020-02-11 |
| 1134516461 | Stephanie Lynn Watts | Nurse Practitioner | 34th St. and Civic Center Blvd., Philadelphia, PA 19104-4399 | 2015-04-24 |
| 1316340078 | Stephanie Elizabeth Watts | Speech-Language Pathologist | 721 Emily Ave, Croydon, PA 19021-6725 | 2014-10-08 |
| 1821418518 | Stephanie Anne Watts | Speech-Language Pathologist | 13330 Usf Laurel Dr, Tampa, FL 33612-6601 | 2014-04-21 |
| 1760801419 | Stephanie Helen Watts | Physical Therapist | 5980 Stoneridge Dr Ste 100, Pleasanton, CA 94588-2723 | 2014-04-09 |
| Street Address |
1050 SHILOH RD NW STE 303 |
| City | KENNESAW |
| State | GA |
| Zip Code | 30144-7197 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619583382 | Capabilities Therapy Services, LLC | Clinic/Center | 1050 Shiloh Rd Nw Ste 303, Kennesaw, GA 30144-7197 | 2020-09-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205440054 | Physician Assistant Surgical Solutions | Surgery | 4290 Bells Ferry Road, Suite 134 - 1032, Kennesaw, GA 30144 | 2020-08-31 |
| 1487149340 | Creative Family Care Inc. | Social Worker | 1275 Shiloh Rd Nw Ste 3030, Kennesaw, GA 30144 | 2018-06-24 |
| 1033632203 | Octavio Andres Tobar | Specialist/Technologist | 1950 Barrett Lakes Blvd Nw Apt 1213, Kennesaw, GA 30144 | 2017-07-19 |
| 1851829220 | Sharon Mcmillan | Counselor | 1301 Shiloh Rd Nw Ste 1840, Kennesaw, GA 30144 | 2017-05-31 |
| 1073054680 | Metropolitan Health Care Plus Inc | Home Health | 445 Laurian Way, Kennesaw, GA 30144 | 2017-03-15 |
| 1649627969 | Caresouth Hha Holdings of Gainesville, LLC | Hospice Care, Community Based | 1000 Cobb Place Blvd Nw Ste 310, Kennesaw, GA 30144 | 2016-05-17 |
| 1851745988 | Joseph Mulligan | Social Worker | 1301 Shiloh Rd., Ste. 849, Kennesaw, GA 30144 | 2016-04-14 |
| 1629438601 | Youfit Health Clubs | Clinic/Center | 3895 Cherokee St Suite 100, Kennesaw, GA 30144 | 2016-03-03 |
| 1598156317 | Jodie Evans | Specialist | 1925 Vaughn Rd, Ste 200, Kennesaw, GA 30144 | 2015-02-16 |
| 1912302134 | Sleepmed Therapies, Inc. | Durable Medical Equipment & Medical Supplies | 1000 Cobb Place Blvd Nw Ste 510, Kennesaw, GA 30144 | 2014-10-30 |
| Find all providers in zip 30144 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255940813 | Sterling Su | Occupational Therapist | 1301 Shiloh Rd Nw Ste 1630, Kennesaw, GA 30144-7168 | 2020-07-29 |
| 1174763056 | Donna Schulman | Occupational Therapist | 5150 Stilesboro Rd Nw Ste 410, Kennesaw, GA 30152-7759 | 2009-03-04 |
| 1629176391 | Alexander Minevich | Occupational Therapist | 3744 Park Trace Nw, Kennesaw, GA 30144 | 2006-09-20 |
| 1306453667 | Kasey Kemp | Occupational Therapist | 1301 Shiloh Rd Nw, Kennesaw, GA 30144-7147 | 2020-09-29 |
| 1417562802 | Jordan Lynn Fielding | Occupational Therapist | 1301 Shiloh Rd Nw Ste 1630, Kennesaw, GA 30144-7168 | 2020-09-11 |
| 1821356080 | Patty Holliday | Occupational Therapist | 5150 Stilesboro Rd Nw, Suite 430, Kennesaw, GA 30152-7744 | 2012-04-25 |
| 1801043971 | Tracy Medlin | Occupational Therapist | 5150 Stilesboro Rd Nw, Suite 430, Kennesaw, GA 30152-7744 | 2008-08-20 |
| 1538383419 | Sally Jackson | Occupational Therapist | 5150 Stilesboro Rd Nw, Suite 430, Kennesaw, GA 30152-7744 | 2007-04-12 |
| 1821158973 | Rebecca Mize | Occupational Therapist | 2015 Vaughn Rd Nw, Suite 130, Kennesaw, GA 30144-7801 | 2006-12-11 |
| 1407923048 | Misty Delaine Davis | Occupational Therapist | 2015 Vaughn Rd Nw, Suite 130, Kennesaw, GA 30144-7801 | 2006-11-29 |
| Find all providers in KENNESAW | ||||
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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.