Jake Parham, OTR/L
NPI 1790324101ActiveIndividual· Occupational Therapist, Hand· Fayetteville, GA
Occupational Therapist, Hand (OTR/L) with Benchmark Physical Therapy, Inc, practicing in Fayetteville, Georgia. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1790324101 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTR/L |
| Sole proprietor | No |
| NPI issued | Jan 2, 2020 |
| Last updated in NPPES | Jun 30, 2025 |
| Certified by provider | Jun 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist, Hand Primary | 225XH1200X | OT008793 | GA |
| Behavior Technician | 106S00000X | — | — |
| Occupational Therapist, Pediatrics | 225XP0200X | OT008793 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Occupational Therapist in Private Practice (GA) |
|---|
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Benchmark Physical Therapy, IncJonesboro, GA · 68 clinicians