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NPI 1407249055ActiveOrganization· Occupational Therapist· Duluth, GA

Occupational Therapist in Duluth, Georgia, registered in NPPES in March 2015. The authorized official on file is Teddy Fayne, Director Of Operations.

Overview

NPI1407249055
StatusActive
Entity typeOrganization
NPI issuedMar 6, 2015
Last updated in NPPESMar 6, 2015

Specialties and licenses

TaxonomyCodeLicenseState
Occupational Therapist Primary225X00000XOT005994GA

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Occupational Therapist providers in Duluth

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