KAITLIN LACKEY (NPI# 1407215361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407215361 |
| Entity Type | Individual |
| Full Name | KAITLIN LACKEY |
| Practice Address |
105 Glendalough Court Suite H Tyrone GA 30290 |
| Mailing Address |
117 Hardy Road Senoia GA 30267 |
| Practice Telephone | 6786326765 |
| Practice Fax Number | 6785507931 |
| Mailing Telephone | 6783711061 |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2016-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
OT006357 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
105 GLENDALOUGH COURT SUITE H |
| City | TYRONE |
| State | GA |
| Zip Code | 30290 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114211745 | Johannes Daniel Smit | Pharmacist | 525 Valleywood Drive, Tyrone, GA 30290 | 2011-05-31 |
| 1760700199 | Georgia Integrative Medicine | Preventive Medicine | 120 Milbrook Village Drive, Suite E, Tyrone, GA 30290 | 2010-05-10 |
| 1427384783 | Exelle Home Care | Home Health | 105 Silverthorn Drive, Tyrone, GA 30290 | 2009-10-21 |
| 1386884138 | Genesys Ob/gyn, LLC | Clinic/Center | 245 Greencastle Road, Tyrone, GA 30290 | 2009-03-05 |
| 1689858805 | Immediate Care Centers of Georgia, LLC | Clinic/Center | 190 Greencastle Rd., Tyrone, GA 30290 | 2007-12-24 |
| 1437212834 | Dawn M Coffman | Physician Assistant | 190 Handley Rd., Tyrone, GA 30290 | 2006-12-18 |
| 1912971805 | Jason Rex Lee | Dentist | 195 Greencastle Rd, Tyrone, GA 30290 | 2006-02-15 |
| 1053898759 | Heather Renee Ellis | Physical Therapist | 62 Carriage Oaks Dr, Tyrone, GA 30290 | 2018-07-25 |
| 1134630858 | Marjorie Yvette Elibert | Advanced Practice Midwife | 190 Handley Rd Ste A, Tyrone, GA 30290 | 2017-10-20 |
| 1407973936 | Genesys Family Practice, Inc. | Family Medicine | 120 Handley Rd, Suite 410, Tyrone, GA 30290 | 2007-03-22 |
| Find all providers in zip 30290 | ||||
| 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:
|
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932742319 | Orchid Kay Downs | Occupational Therapist | 3237 Birmingham Pike, Tyrone, PA 16686-3027 | 2019-10-18 |
| 1013352111 | Kids That Can | Occupational Therapist | 1130 Senoia Road, Suite A1, Tyrone, GA 30290-1640 | 2013-05-02 |
| 1770963837 | Adrienne Louise Weisz | Occupational Therapist | 105 Glendalough Ct, Tyrone, GA 30290-2948 | 2015-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255940813 | Sterling Su | Occupational Therapist | 1301 Shiloh Rd Nw Ste 1630, Kennesaw, GA 30144-7168 | 2020-07-29 |
| 1679196117 | Sens-i-play Pediatric Therapy | Occupational Therapist | 901 Nathan Ct, Vidalia, GA 30474-5653 | 2020-05-19 |
| 1427692458 | Mary Delage | Occupational Therapist | 130 N Gross Rd Ste 125, Kingsland, GA 31548-6263 | 2019-11-02 |
| 1528600335 | Arden Constance Mobley | Occupational Therapist | 3200 Highlands Parkway Suite 150, Smyrna, GA 30082 | 2019-10-14 |
| 1164073995 | Savannah Paige Welch | Occupational Therapist | 1110 S Pierce St Ste A, Alma, GA 31510-3718 | 2019-09-23 |
| 1457914137 | Hayat Akmel | Occupational Therapist | 2155 W Park Ct Ste D, Stone Mountain, GA 30087-3511 | 2019-04-17 |
| 1316500507 | Therapeutic Beginnings LLC. | Occupational Therapist | 3276 Northside Pkwy Nw # 5509, Atlanta, GA 30327-2290 | 2019-04-15 |
| 1750846291 | Dh Therapy LLC | Occupational Therapist | 325 Oak Alley Ct, Johns Creek, GA 30022-8032 | 2019-02-08 |
| 1881186732 | Crisany Lauren Carroll | Occupational Therapist | 22 Buford Village Way, Buford, GA 30518-8846 | 2018-06-05 |
| 1104333723 | Kensey Alene Smith | Occupational Therapist | 113 Commons Way Ste 402, Villa Rica, GA 30180-7040 | 2018-01-04 |
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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.