GLORIA MIXON (NPI# 1700307139) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700307139 |
| Entity Type | Individual |
| Full Name | GLORIA MIXON |
| Credential | OTD, OTR/L |
| Practice Address |
777 Cleveland Ave Sw Atlanta GA 30315-7129 |
| Mailing Address |
75 Tanglewood Rd Newnan GA 30263-4110 |
| Practice Telephone | 4042076348 |
| Mailing Telephone | 4042076348 |
| Enumeration Date | 2017-07-06 |
| Last Update Date | 2017-07-06 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 1221 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
777 CLEVELAND AVE SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30315-7129 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410173 | Anthony Edward Barnes | Urology | 777 Cleveland Ave Sw, Suite 604, Atlanta, GA 30315-7129 | 2005-07-12 |
| 1588169759 | Treken Primary Care Inc | Internal Medicine | 777 Cleveland Ave Sw, Atlanta, GA 30315-7129 | 2018-03-28 |
| 1407211139 | Trisha Brown | Counselor | 777 Cleveland Ave Sw, Suite 204, Atlanta, GA 30315-7129 | 2015-12-22 |
| 1972976348 | Safira Zayas | Massage Therapist | 777 Cleveland Ave Sw, Atlanta, GA 30315-7129 | 2015-11-07 |
| 1609246800 | Jeannette Hokanson | Counselor | 777 Cleveland Ave Sw, Suite 301, Atlanta, GA 30315-7129 | 2015-09-30 |
| 1801270335 | Serene Reflections for Holistic Behavior Wellness, LLC | Community/Behavioral Health | 777 Cleveland Ave Sw, Suite 204, Atlanta, GA 30315-7129 | 2015-07-15 |
| 1144665415 | Eric Alexander Lohman | Social Worker | 777 Cleveland Ave Sw, Suite 316, Atlanta, GA 30315-7129 | 2013-05-01 |
| 1851657167 | Pathways Career Services | Day Training, Developmentally Disabled Services | 777 Cleveland Ave Sw, 316, Atlanta, GA 30315-7129 | 2012-04-11 |
| 1710284435 | Gates Rapid Diagnostic Laboratory of Atlanta | General Practice | 777 Cleveland Ave Sw, Suite 100, Atlanta, GA 30315-7129 | 2011-02-15 |
| 1447553292 | Stanston D. Spence M.d., P.C. | Specialist | 777 Cleveland Ave Sw, Suite 305, Atlanta, GA 30315-7129 | 2010-12-17 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083181341 | Erin Cole | Specialist/Technologist | Lakewood Ave Se, Atlanta, GA 30315 | 2018-10-25 |
| 1942701081 | Julie Crocker | Dental Hygienist | 1046 Ridge Ave. Sw, Atlanta, GA 30315 | 2018-02-23 |
| 1457695850 | Dominica Aquino Morales-gibson | Physical Therapist | 2850 Springdale Road Sw, Atlanta, GA 30315 | 2012-11-26 |
| 1912264813 | Maxwell Uhakheme | Internal Medicine | 6875 Douglas Blvd, Suite A, Kaiser Permanente Douglasville Medical Center, Douglasville, GA 30315 | 2012-04-16 |
| 1427329093 | Sulonda Smith | Counselor | 34 Atlanta Ave. Se, Hank Aaron Blvd, Atlanta, GA 30315 | 2012-01-13 |
| 1407152507 | Gerald Leroy Griffin | Pharmacist | 520 Boulevard, Atlanta, GA 30315 | 2011-02-07 |
| 1245404854 | Tunisia Finch Cornelius | Dermatology | 1039 Grant St Se Ste A-11, Atlanta, GA 30315 | 2008-04-15 |
| 1356512180 | Chandra Blakely | Counselor | 215 Lakewood Way, Suite 205, Atlanta, GA 30315 | 2008-03-19 |
| 1104043967 | Alvin H. Clair, M.d.p.c. | Dermatology | 777 Cleveland Ave.,sw Ste.500, Atlanta, GA 30315 | 2007-04-20 |
| 1396877742 | Scott M Russell | Speech-Language Pathologist | 1364 Clifton Road, Atlanta, GA 30315 | 2007-03-12 |
| Find all providers in zip 30315 | ||||
| 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 |
|---|---|---|---|---|
| 1063011849 | Edc Home Modifications LLC | Occupational Therapist | 2674 Flair Knoll Dr Ne, Atlanta, GA 30345-1318 | 2020-10-22 |
| 1982217964 | Vertex Therapy Services | Occupational Therapist | 264 19th St Nw Unit 2321, Atlanta, GA 30363-1150 | 2020-08-28 |
| 1881212124 | Natalie Stone King | Occupational Therapist | 1958 N Akin Dr Ne, Atlanta, GA 30345-3952 | 2020-07-13 |
| 1336766468 | Maegan Krifchin | Occupational Therapist | 3425 Shadowood Pkwy Se, Atlanta, GA 30339-2309 | 2020-07-06 |
| 1710508312 | Mckennah Danyale Martin | Occupational Therapist | 923 Pinhurst Dr, Atlanta, GA 30339-3673 | 2020-05-05 |
| 1336789353 | Kimberly Renee Grant | Occupational Therapist | 4878 W Park Cir, Atlanta, GA 30349-2049 | 2020-01-07 |
| 1114565579 | Laura Barone | Occupational Therapist | 641 North Ave Ne Apt 3228, Atlanta, GA 30308-3073 | 2019-12-17 |
| 1891338679 | Natasha Carey Strickland | Occupational Therapist | 450 Piedmont Ave Ne Apt 1901, Atlanta, GA 30308-3448 | 2019-10-23 |
| 1609426188 | Restore Wellness and Pain Management Center | Occupational Therapist | 1324 Gates Cir Se, Atlanta, GA 30316-4092 | 2019-09-16 |
| 1285287441 | Kevondria Cager | Occupational Therapist | 3890 Redwine Rd Sw Ste 208, Atlanta, GA 30331-5583 | 2019-07-17 |
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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.