JUSTIN WINDOM (NPI# 1447809306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447809306 |
| Entity Type | Individual |
| Full Name | JUSTIN WINDOM |
| Credential | COTA/L |
| Practice Address |
4115 Glenwood Rd Decatur GA 30032-4727 |
| Practice Telephone | 4042846414 |
| Mailing Telephone | 4042846414 |
| Enumeration Date | 2019-09-04 |
| Last Update Date | 2019-09-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA002397 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4115 GLENWOOD RD |
| City | DECATUR |
| State | GA |
| Zip Code | 30032-4727 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508818766 | Ggnsc Decatur II LLC | Skilled Nursing Facility | 4115 Glenwood Rd, Decatur, GA 30032-4727 | 2006-05-16 |
| 1942859756 | Bernadette Camille | Occupational Therapy Assistant | 4115 Glenwood Rd, Decatur, GA 30032-4727 | 2019-09-05 |
| 1285283135 | Kaprice Estelle | Occupational Therapy Assistant | 4115 Glenwood Rd, Decatur, GA 30032-4727 | 2019-09-04 |
| 1427607373 | Jemimah Sanda | Occupational Therapist | 4115 Glenwood Rd, Decatur, GA 30032-4727 | 2019-09-04 |
| 1619526548 | Cicely Tynette Anderson | Occupational Therapy Assistant | 4115 Glenwood Rd, Decatur, GA 30032-4727 | 2019-09-04 |
| 1063061935 | Kar Ou | Physical Therapist | 4115 Glenwood Rd, Decatur, GA 30032-4727 | 2019-09-04 |
| 1497303473 | Morris Johnson Jr. | Physical Therapist | 4115 Glenwood Rd, Decatur, GA 30032-4727 | 2019-09-03 |
| 1376093666 | Glenwood Operating Company LLC | Skilled Nursing Facility | 4115 Glenwood Rd, Decatur, GA 30032-4727 | 2016-10-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861028078 | Anchor Home Healthcare Services, Inc. | Community/Behavioral Health | 3717 Elkridge Drive, Decatur, GA 30032 | 2020-03-19 |
| 1578959201 | Trusted Nurses | Nursing Care | 1959 Barberrie Ln, Decatur, GA 30032 | 2015-04-09 |
| 1225436751 | God's Helper's Private Home Care, LLC | In Home Supportive Care | 1916 Willa Dr, Decatur, GA 30032 | 2014-12-16 |
| 1366878712 | Teresa A Johnson | Counselor | 1585 Cobbs Creek Lane, Decatur, GA 30032 | 2013-09-17 |
| 1629213590 | Curlen L Baird-scott | Registered Nurse | Child and Adolescent Stabilization Unit, 2591 Candler Road, Decatur, GA 30032 | 2008-12-08 |
| 1659527919 | Louis Aaron Calderon | Psychiatry & Neurology | 3408 Covington Highway, Georgia Department of Juvenile Justice, Decatur, GA 30032 | 2008-08-18 |
| 1932387982 | Turning Point Behavioral Health and Wellness Center | Community/Behavioral Health | 4292 Memorial Drive Suite C, Decatur, GA 30032 | 2008-02-01 |
| 1528190865 | Jennifer Weeks Kaufman | Speech-Language Pathologist | 1441 Clifton Road Ne, Atlanta, GA 30032 | 2007-03-12 |
| 1093847147 | Mary Sprague | Speech-Language Pathologist | 1441 Clifton Road North East, Atlanta, GA 30032 | 2007-03-12 |
| 1356479976 | Julie Witten | Speech-Language Pathologist | 1441 Clifton Road, N.e., Atlanta, GA 30032 | 2007-03-02 |
| Find all providers in zip 30032 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003464413 | Alliah M Iqbal | Occupational Therapy Assistant | 2390 S Lost Bridge Rd, Decatur, IL 62521-4653 | 2019-08-28 |
| 1972061901 | Carol Jean Zilz | Occupational Therapy Assistant | 4825 Evergreen Ct, Decatur, IL 62521-8774 | 2019-03-08 |
| 1992277271 | Mark Anthony Bajkowsky | Occupational Therapy Assistant | 1555 W Business 380, Decatur, TX 76234-3216 | 2018-12-26 |
| 1376015750 | Kailey N Herter | Occupational Therapy Assistant | 7945 Bentonville Rd, Decatur, IL 62521-9512 | 2018-12-21 |
| 1356855241 | Shamia D. James | Occupational Therapy Assistant | 4153 Flat Shoals Pkwy # C300, Decatur, GA 30034-4106 | 2017-11-30 |
| 1568992238 | Ann Marie Barnes | Occupational Therapy Assistant | 341 Winn Way Apt 203, Decatur, GA 30030-2107 | 2017-06-15 |
| 1154850303 | Siran Eller | Occupational Therapy Assistant | 4180 Irving Dr, Decatur, IL 62521-4134 | 2017-06-09 |
| 1871907253 | Cheyanne Harris | Occupational Therapy Assistant | 995 N Park Pl, Decatur, IL 62522-1458 | 2014-06-13 |
| 1962814251 | Elizabeth Scott | Occupational Therapy Assistant | 2531 Brentford Pl, Decatur, GA 30032-5622 | 2014-05-21 |
| 1467884254 | Rebecca Ward | Occupational Therapy Assistant | 1897 Longdale Dr, Decatur, GA 30032-5243 | 2013-08-02 |
| Find all providers in DECATUR | ||||
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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.