AMBER WISE (NPI# 1821558511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821558511 |
| Entity Type | Individual |
| Full Name | AMBER WISE |
| Credential | COTA/L |
| Practice Address |
1901 W Screven St Quitman GA 31643-3913 |
| Practice Telephone | 2292639100 |
| Practice Fax Number | 8552328604 |
| Mailing Telephone | 2292639100 |
| Mailing Fax Number | 8552328604 |
| Enumeration Date | 2019-03-20 |
| Last Update Date | 2019-03-20 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OTA002524 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447706890 | Amber Wise | Case Manager/Care Coordinator | 301 S 6th St, Yakima, WA 98901-2930 | 2016-08-26 |
| 1790210946 | Amber Nicole Wise | Pharmacist | 855 Coshocton Ave, Mount Vernon, OH 43050-1975 | 2017-04-25 |
| Street Address |
1901 W SCREVEN ST |
| City | QUITMAN |
| State | GA |
| Zip Code | 31643-3913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336139070 | Presbyterian Home, Quitman, Inc. | Skilled Nursing Facility | 1901 W Screven St, Quitman, GA 31643-3913 | 2005-10-25 |
| 1841842580 | Stacia Deakins | Physical Therapy Assistant | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-07-12 |
| 1811553027 | Ryan Hudson | Physical Therapist | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-05-13 |
| 1902368665 | Belinda Dale Tate | Occupational Therapy Assistant | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-04-02 |
| 1013475821 | Amy Beth Whitcombe Freeman | Occupational Therapy Assistant | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-03-11 |
| 1619431764 | Jennifer H Hightower | Physical Therapist | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-01-23 |
| 1528531878 | Michael William Harrell | Physical Therapy Assistant | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-01-09 |
| 1891268306 | Chad Gerald Lionberger | Physical Therapist | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-01-08 |
| 1063985000 | Dorian H. Jordan | Occupational Therapy Assistant | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-01-02 |
| 1578031514 | Aubrey Andrews | Physical Medicine & Rehabilitation | 1901 W Screven St, Quitman, GA 31643-3913 | 2018-11-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386168938 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 1103 W Screven St, Quitman, GA 31643 | 2017-07-26 |
| 1245774025 | Shacora Travis | Contractor | 1200 Carney Road, Quitman, GA 31643 | 2016-12-13 |
| 1528358306 | Thomas Jackson Barrs | Pharmacist | 1103 West Screven St, Quitman, GA 31643 | 2011-04-13 |
| 1326356767 | Robert Eugene Jennings Jr. | Pharmacist | 510 Old Madison Rd, Quitman, GA 31643 | 2010-09-20 |
| 1275854515 | Marable's Heart-to-heart PCh Inc | Home Health | 83 Church Lane, Marable's Heart-to-heart Personal Care Home Inc., Quitman, GA 31643 | 2010-06-22 |
| 1871718577 | Mcleod-gaston Inc | Community/Behavioral Health | 102 N. Madison St., Quitman, GA 31643 | 2007-04-16 |
| 1598804197 | Debra M Seleska | Nurse Practitioner | 907 North Court Street, Quitman, GA 31643 | 2007-02-06 |
| 1184078537 | Brooks County Hospital | Radiology | 903 N Court St, Quitman, GA 31643 | 2016-04-21 |
| 1639523087 | Brooks County Hospital | Radiology | 903 N Court St, Quitman, GA 31643 | 2016-04-21 |
| 1538513981 | Brooks County Hospital | Radiology | 903 N Court St, Quitman, GA 31643 | 2016-04-21 |
| Find all providers in zip 31643 | ||||
| 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 |
|---|---|---|---|---|
| 1629540737 | Whitney Elise Mccloud | Occupational Therapy Assistant | 903 W Boundary St, Quitman, GA 31643-3719 | 2018-12-31 |
| 1952662512 | Donna Reid Graham | Occupational Therapy Assistant | 4355 Barwick Rd, Quitman, GA 31643-4805 | 2012-05-30 |
| 1902368665 | Belinda Dale Tate | Occupational Therapy Assistant | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-04-02 |
| 1013475821 | Amy Beth Whitcombe Freeman | Occupational Therapy Assistant | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-03-11 |
| 1063985000 | Dorian H. Jordan | Occupational Therapy Assistant | 1901 W Screven St, Quitman, GA 31643-3913 | 2019-01-02 |
| 1134600372 | Rolando Fabian | Occupational Therapy Assistant | 1026 E Goode St, Quitman, TX 75783-1641 | 2018-08-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801403282 | Kaitlyn Breese Swain | Occupational Therapy Assistant | 3713 Tarva Rd, Albany, GA 31721-8687 | 2020-09-29 |
| 1306451414 | Yvonne G Forbes | Occupational Therapy Assistant | 3412 Conley Downs Dr, Powder Springs, GA 30127-1199 | 2020-09-15 |
| 1396356614 | Chukwuma Jordan Okafor | Occupational Therapy Assistant | 3201 Windcliff Dr Se, Marietta, GA 30067-3814 | 2020-08-11 |
| 1861018913 | Lavina Michelle Andrews | Occupational Therapy Assistant | 288 Osceola Trl N, Jesup, GA 31545-4853 | 2020-06-24 |
| 1386285153 | Rww Outpatient Rehab Services, LLC | Occupational Therapy Assistant | 1860 Atkinson Rd Ste 100, Lawrenceville, GA 30043-5065 | 2019-10-03 |
| 1356998769 | Jaclyn Renee Mason | Occupational Therapy Assistant | 609 Lake Vista Dr, Jefferson, GA 30549-4606 | 2019-08-20 |
| 1326692658 | Jacqueline Renee Rhem | Occupational Therapy Assistant | 1012 Enota Ave Ne, Gainesville, GA 30501-1802 | 2019-07-25 |
| 1437719713 | Tommy Tanner | Occupational Therapy Assistant | 3018 Spicewood Dr, Augusta, GA 30909-6489 | 2019-06-18 |
| 1962061457 | Stuart Paul Shaklee | Occupational Therapy Assistant | 1356 Redmond Road, Rome, GA 30165 | 2019-06-10 |
| 1508424458 | Misty Myrick Copeland | Occupational Therapy Assistant | 318 Keen Rd, Summerville, GA 30747-6379 | 2019-06-04 |
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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.