MRS. MIA FULLER (NPI# 1619045770) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619045770 |
| Entity Type | Individual |
| Full Name | MRS. MIA FULLER |
| Credential | MS,OTR,CHT |
| Practice Address |
11180 State Bridge Rd Suite 305 Alpharetta GA 30022-7482 |
| Mailing Address |
2285 Hamptons Xing Alpharetta GA 30005-7415 |
| Practice Telephone | 6789920303 |
| Practice Fax Number | 6789920302 |
| Mailing Telephone | 4043083820 |
| Mailing Fax Number | 6789920302 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2019-08-16 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT000932 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 225XH1200X |
Occupational Therapist Specialization: Hand |
OT000932 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 501099970B | 05 |
| Street Address |
11180 STATE BRIDGE RD SUITE 305 |
| City | ALPHARETTA |
| State | GA |
| Zip Code | 30022-7482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699733386 | Michael Shay Sabom | Family Medicine | 11180 State Bridge Rd, Alpharetta, GA 30022-7482 | 2006-05-02 |
| 1851773899 | Alpharetta Creek Restorative Dentistry LLC | Dentist | 11180 State Bridge Rd, Suite 405, Alpharetta, GA 30022-7482 | 2015-06-26 |
| 1114136280 | Comprehensive Therapy Solutions | Durable Medical Equipment & Medical Supplies | 11180 State Bridge Rd, Suite 305, Alpharetta, GA 30022-7482 | 2007-05-22 |
| 1821214503 | Brett Harrelson | Dentist | 11180 State Bridge Rd, Suite 405, Alpharetta, GA 30022-7482 | 2007-04-18 |
| 1760501217 | Michelle Lee Mollard | Chiropractor | 11180 State Bridge Rd, Suite 402, Alpharetta, GA 30022-7482 | 2007-03-28 |
| 1982749206 | Mark J. Casertano | Chiropractor | 11180 State Bridge Rd, Suite 201, Alpharetta, GA 30022-7482 | 2007-02-21 |
| 1124174487 | Macia J Pearl | Physical Therapist | 11180 State Bridge Rd, Suite 503, Alpharetta, GA 30022-7482 | 2007-01-26 |
| 1669531539 | Rachel Biller | Physical Therapist | 11180 State Bridge Rd, Alpharetta, GA 30022-7482 | 2006-12-07 |
| 1356419493 | Comprehensive Therapy Solutions | Physical Therapist | 11180 State Bridge Rd, Suite 305, Alpharetta, GA 30022-7482 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982244463 | Youthful Md LLC | Family Medicine | 10595 Old Alabama Rd Con, # 9a, Alpharetta, GA 30022 | 2020-01-13 |
| 1194367185 | Maureen Onyewuenyi | Counselor | 1030 Jones Bridge Road, Suite 301, Johns Creek, GA 30022 | 2019-10-11 |
| 1427543032 | Neal Baker | Counselor | 5755 N Point Pkwy Ste 90, Alpharetta, GA 30022 | 2018-06-26 |
| 1215428685 | Advanced Cosmetic and Family Dentistry, PC | Durable Medical Equipment & Medical Supplies | 4205 North Point Parkway Bldg D, Alpharetta, GA 30022 | 2018-05-22 |
| 1114431541 | Grace Yang | Speech-Language Pathologist | 3207 Beaver Creek Road, Alpharetta, GA 30022 | 2017-11-21 |
| 1881112217 | Brittany Ketchup Hall | Counselor | 2750 Old Alabama Rd Unit 200, Alpharetta, GA 30022 | 2017-09-06 |
| 1154849867 | Fatima Wasim | Psychologist | 5755 N Point Pkwy Ste 79, Alpharetta, GA 30022 | 2017-09-01 |
| 1730602418 | Brian Keith Soles | Pharmacist | 4305 Old Milton Parkway, Alpharetta, GA 30022 | 2017-07-25 |
| 1548718976 | Serenity Life Counseling Center LLC | Community/Behavioral Health | 10068 Parc Sky Cir, Alpharetta, GA 30022 | 2016-09-14 |
| 1487016317 | National Vision, Inc. | Technician/Technologist | 7661 N Point Pwky, Ste 600, Alpharetta, GA 30022 | 2016-03-21 |
| Find all providers in zip 30022 | ||||
| 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 |
|---|---|---|---|---|
| 1518506286 | Kirsten West | Occupational Therapist | 3675 Old Milton Pkwy, Alpharetta, GA 30005-4487 | 2019-12-30 |
| 1417595182 | Sk Therapy | Occupational Therapist | 13267 Marrywood Dr, Alpharetta, GA 30004-5116 | 2019-12-12 |
| 1245880269 | Therapeutic Milestones, LLC | Occupational Therapist | 385 Sablewood Dr, Alpharetta, GA 30004-8048 | 2019-09-12 |
| 1376007500 | Francesca Tokarz | Occupational Therapist | 310 Double Springs Way, Alpharetta, GA 30004-6941 | 2019-01-22 |
| 1164903217 | Michelle Allen | Occupational Therapist | 555 Wills Rd, Alpharetta, GA 30009-1818 | 2018-08-27 |
| 1649773672 | Marcie Miarecki | Occupational Therapist | 255 Vaughn Dr, Alpharetta, GA 30009-2415 | 2018-03-15 |
| 1821509886 | The Lionheart School, Inc. | Occupational Therapist | 225 Roswell St, Alpharetta, GA 30009-1933 | 2017-10-18 |
| 1831621010 | Lisa Wade | Occupational Therapist | 530 Creek Landing Ln, Alpharetta, GA 30005-7813 | 2017-03-28 |
| 1962857425 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 5815 Windward Pkwy, Ste 208, Alpharetta, GA 30005-4202 | 2016-05-03 |
| 1861867996 | Independent Physical Therapy of Ga, LLC | Occupational Therapist | 2850 Holcomb Bridge Rd Ste 140a, Alpharetta, GA 30022-1658 | 2015-12-01 |
| Find all providers in ALPHARETTA | ||||
| City | ALPHARETTA |
| Zip Code | 30022 |
Please comment or provide details below to improve the information on MRS. MIA FULLER.
| 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.