AMITA AGARWAL (NPI# 1124295357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124295357 |
| Entity Type | Individual |
| Full Name | AMITA AGARWAL |
| Credential | OTR,CHT |
| Practice Address |
1336 Highway 54 W Fayetteville GA 30214-4535 |
| Practice Telephone | 7704616142 |
| Practice Fax Number | 7704616610 |
| Mailing Telephone | 7704616142 |
| Mailing Fax Number | 7704616610 |
| Enumeration Date | 2008-05-16 |
| Last Update Date | 2014-01-17 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT005799 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225X00000X | Occupational Therapist | 3916 | WI | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184084683 | Amita Agarwal | Dentist | 1601 Washington St, Boston, MA 02118-1951 | 2016-02-26 |
| Street Address |
1336 HIGHWAY 54 W |
| City | FAYETTEVILLE |
| State | GA |
| Zip Code | 30214-4535 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891795407 | Tara Beth Gochenour | Specialist/Technologist | 1336 Highway 54 W, Bldg 500, Fayetteville, GA 30214-4535 | 2005-07-26 |
| 1679019020 | Kimberly Anne Wilmoth | Nurse Practitioner | 1336 Highway 54 W, Fayetteville, GA 30214-4535 | 2017-01-10 |
| 1538523964 | Christopher Bryan Bush | Nurse Practitioner | 1336 Highway 54 W, Bldg. 500, Fayetteville, GA 30214-4535 | 2016-04-12 |
| 1457630659 | Laura H Taylor | Specialist/Technologist | 1336 Highway 54 W, Bldg 500, Fayetteville, GA 30214-4535 | 2011-08-05 |
| 1407090459 | Edan Shapiro | Urology | 1336 Highway 54 W, Bldg 200, Fayetteville, GA 30214-4535 | 2009-04-21 |
| 1245473990 | Hagop Sarkissian | Urology | 1336 Highway 54 W, Bldg 200, Fayetteville, GA 30214-4535 | 2009-04-10 |
| 1861679805 | John Thomas Abbott Jr. | Urology | 1336 Highway 54 W, Bldg 200, Fayetteville, GA 30214-4535 | 2008-01-22 |
| 1942426168 | Georgia Urology Pa | Urology | 1336 Highway 54 W, Building 200, Fayetteville, GA 30214-4535 | 2007-04-17 |
| 1649307885 | Resurgens, PC | Orthopaedic Surgery | 1336 Highway 54 W, Building 500, Fayetteville, GA 30214-4549 | 2007-02-27 |
| 1053414458 | Scott W Shelfo | Urology | 1336 Highway 54 W, Bldg 200, Fayetteville, GA 30214-4535 | 2006-09-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548872468 | Phyllis Kelly Wood | Nurse Practitioner | 217 Banks Rd, Suite 31, Fayetteville, GA 30214 | 2020-08-21 |
| 1073139317 | Tyisha Salter Scott | Counselor | 110 Habersham Drive, Suite 142, Fayetteville, GA 30214 | 2020-06-23 |
| 1194341412 | Camille Franncine Bolton | Physical Therapist | 500 Floy Farr Parkway, Suite 303, Fayetteville, GA 30214 | 2020-06-23 |
| 1205465895 | Gillian Vaughan Heard | Physician Assistant | 1275 Ga-54 #201, Fayetteville, GA 30214 | 2020-04-06 |
| 1881234557 | Peach Fits,inc | Mastectomy Fitter | 285 Glynn Street South, Suites 102 and 104, Fayetteville, GA 30214 | 2020-01-10 |
| 1255981072 | Delta Healthcare Providers | Clinic/Center | 1275 W Lanier Ave, #200, Fayetteville, GA 30214 | 2019-09-13 |
| 1861965592 | Hierarchy for Wellness | Specialist | 805 S Glynn St Bldg 127 142, Fayetteville, GA 30214 | 2019-01-04 |
| 1356810634 | Fayette Dental Group PC | Clinic/Center | 720 W Lanier Ave, Fayetteville, GA 30214 | 2018-11-16 |
| 1891263299 | Mattie Mae Farmer Clark | Specialist/Technologist, Other | Piedmont Fayette Hospital, 1255 Highway 54 West, Fayetteville, GA 30214 | 2018-11-05 |
| 1093293607 | Allyson Holland | Pharmacist | 880 Highway 85 South, Fayetteville, GA 30214 | 2018-08-06 |
| Find all providers in zip 30214 | ||||
| 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 |
|---|---|---|---|---|
| 1164029690 | Nicole Kathleen Simmler | Occupational Therapist | 7120 Tres Ct, Fayetteville, NC 28314-5272 | 2020-10-07 |
| 1639799877 | Kimberly Craw Myers | Occupational Therapist | 550 Warren Street, Apt. 5d, Fayetteville, NY 13066-2154 | 2020-04-17 |
| 1528687472 | Edutherapy Connection LLC | Occupational Therapist | 3518 Grenedine Dr, Fayetteville, NC 28306 | 2020-04-10 |
| 1699302687 | Kelsey Taylor Lisicia | Occupational Therapist | 500 Lanier Ave W Ste 603, Fayetteville, GA 30214-7644 | 2020-03-27 |
| 1598397283 | Mallory Boozer | Occupational Therapist | 2713 Breezewood Ave # 5535, Fayetteville, NC 28303-5534 | 2020-02-10 |
| 1760024582 | Haley Brooke Thompson | Occupational Therapist | 2474 E Joyce Blvd Ste 2, Null, Fayetteville, AR 72703 | 2019-10-14 |
| 1639726425 | Samantha Lynn Dipaolo | Occupational Therapist | 1555 Cain Rd Ste 200, Fayetteville, NC 28303-3076 | 2019-08-26 |
| 1114421922 | Serc Rehabilitation Partners LLC | Occupational Therapist | 1261 N Steamboat Dr Ste 2, Fayetteville, AR 72704-6262 | 2018-03-19 |
| 1730607540 | Tamara Terry | Occupational Therapist | 290 Ga-314 B, Fayetteville, GA 30214 | 2017-08-31 |
| 1760908867 | Natalie Snow | Occupational Therapist | 6226 W Persimmon St, Fayetteville, AR 72704-7054 | 2017-08-21 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 30214 |
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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.