MRS. POONAM ANIL PRADHAN (NPI# 1679897805) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679897805 |
| Entity Type | Individual |
| Full Name | MRS. POONAM ANIL PRADHAN |
| Credential | OTR/L |
| Practice Address |
4360 Kenion Forest Dr Lilburn GA 30047-4185 |
| Practice Telephone | 7703815054 |
| Enumeration Date | 2010-03-17 |
| Last Update Date | 2010-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OT003564 | GA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4360 KENION FOREST DR |
| City | LILBURN |
| State | GA |
| Zip Code | 30047-4185 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
| 1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
| 1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
| 1528515186 | Smith Dental Care of Lilburn, Inc. | Dentist | 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 | 2016-09-01 |
| 1891143244 | Choices Behavioral Alternatives | Counselor | 4037 Darling Court, Suite B, Lilburn, GA 30047 | 2016-05-26 |
| 1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
| 1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
| 1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
| 1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
| 1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
| Find all providers in zip 30047 | ||||
| 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 |
|---|---|---|---|---|
| 1598386682 | Circle of Life Therapy & Consulting LLC | Occupational Therapist | 3572 Preservation Cir, Lilburn, GA 30047-2072 | 2020-04-30 |
| 1144783002 | Karen Bomar Nickerson | Occupational Therapist | 76a Camp Creek Rd Sw, Lilburn, GA 30047-3909 | 2019-04-08 |
| 1184187288 | Tralisa Dawn Myers | Occupational Therapist | 4024 Lawrenceville Hwy Nw Ste 19&20, Lilburn, GA 30047-2999 | 2019-04-08 |
| 1043786544 | Sarah Williams | Occupational Therapist | 2632 Cliffview Dr Sw, Lilburn, GA 30047-4719 | 2018-10-23 |
| 1174916647 | Chamundi Guyton | Occupational Therapist | 1629 Rocky Top Dr Sw, Lilburn, GA 30047-2593 | 2015-03-09 |
| 1972810364 | Colleen M Schmidt | Occupational Therapist | 440 Village Green Ct Sw, Lilburn, GA 30047-4166 | 2010-09-07 |
| 1205024270 | Humera Shams Savaja | Occupational Therapist | 4000 Runnymede Dr Sw, Lilburn, GA 30047-3368 | 2007-10-04 |
| 1578064754 | Independent Physical Therapy of Ga LLC | Occupational Therapist | 4145 Lawrenceville Hwy Nw Ste 8, Lilburn, GA 30047-2807 | 2018-02-23 |
| 1750712378 | A To Z Therapy Services, LLC | Occupational Therapist | 3100 Five Forks Trickum Rd Sw, Suite 203, Lilburn, GA 30047-1890 | 2013-12-07 |
| 1760782114 | Angela S Zielinski | Occupational Therapist | 3100 Five Forks Trickum Rd Sw, Suite 203, Lilburn, GA 30047-1890 | 2010-11-01 |
| Find all providers in LILBURN | ||||
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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.