RESTORE WELLNESS AND PAIN MANAGEMENT CENTER (NPI# 1609426188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609426188 |
| Entity Type | Organization |
| Organization Name | RESTORE WELLNESS AND PAIN MANAGEMENT CENTER |
| Practice Address |
1324 Gates Cir Se Atlanta GA 30316-4092 |
| Practice Telephone | 6785982095 |
| Practice Fax Number | 6786692652 |
| Mailing Telephone | 6785982095 |
| Mailing Fax Number | 6786692652 |
| Enumeration Date | 2019-09-16 |
| Last Update Date | 2019-09-16 |
| Authorized Official Name | CYNTHIA PEARSON (OCCUPATIONAL THERAPIST) |
| Authorized Official Telephone | 6785982095 |
| Authorized Official Credential | MS, OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1324 GATES CIR SE |
| City | ATLANTA |
| State | GA |
| Zip Code | 30316-4092 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073156923 | Rakiya Williams | Counselor | 1030 Fayetteville Rd., Atlanta, GA 30316 | 2019-10-23 |
| 1215585815 | Madison Victoria Baugh | Counselor | Chris180, 1030 Fayetteville Rd, Atlanta, GA 30316 | 2019-08-28 |
| 1265089460 | Josee Dominque Muldrew | Counselor | 1030 Fayetteville Rd. Se, Atlanta, GA 30316 | 2019-08-22 |
| 1255984241 | Monique Overstreet | Counselor | 1030 Fayetteville Road, Atlanta, GA 30316 | 2019-07-19 |
| 1023573979 | Publix Super Markets, Inc. | Durable Medical Equipment & Medical Supplies | 905 Memorial Drive Se, Atlanta-fulton, GA 30316 | 2019-02-05 |
| 1740726454 | Jimmy Brian Sambula | Behavior Technician | 1017 Fayetteville Rd. Se, Atlanta, GA 30316 | 2017-01-19 |
| 1033665039 | Liberty Group Senior Services | Clinic/Center | 1879 Glenwood Avenue, Atlanta, GA 30316 | 2016-08-30 |
| 1043673650 | The Kroger Co | Durable Medical Equipment & Medical Supplies | 800 Glenwood Ave Se, Atlanta, GA 30316 | 2016-03-31 |
| 1992143382 | Ayodele Osasona | Surgery | 2004 Oak Terrace Dr Se, Atlanta, GA 30316 | 2013-06-07 |
| 1891945721 | Denise Renee Cagle | Social Worker | 1471 Town Country Dr Se, Atlanta, GA 30316 | 2008-09-28 |
| Find all providers in zip 30316 | ||||
| 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 |
| 1285287441 | Kevondria Cager | Occupational Therapist | 3890 Redwine Rd Sw Ste 208, Atlanta, GA 30331-5583 | 2019-07-17 |
| 1528627262 | Shama Patil | Occupational Therapist | 1500 S Johnson Ferry Rd, Atlanta, GA 30319-1612 | 2019-06-06 |
| Find all providers in ATLANTA | ||||
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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.