Peach State Pediatric Therapy - Occupational Therapist in Buford, GA

Peach State Pediatric Therapy is a Occupational Therapist - Pediatrics based in Buford, Georgia. Peach State Pediatric Therapy is licensed to practice in Georgia (license number OT004775) and their current practice location is 4992 Bristol Industrial Way, Buford, Georgia. It can be reached at their office (for appointments etc.) via phone at (770) 904-6419.

NPI number for Peach State Pediatric Therapy is 1225496284 and their current mailing address is 4992 Bristol Industrial Way, Buford, Georgia. Peach State Pediatric Therapy does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1225496284.

Contact Information

Peach State Pediatric Therapy
4992 Bristol Industrial Way,
Buford, GA 30518-1742
(770) 904-6419
(770) 904-6418



Healthcare Provider's Profile

Full NamePeach State Pediatric Therapy
TypeFacility
SpecialityOccupational Therapist - Pediatrics
Location4992 Bristol Industrial Way, Buford, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1225496284
  • Provider Enumeration Date: 02/05/2016
  • Last Update Date: 02/05/2016

Medical Identifiers

Medical identifiers for Peach State Pediatric Therapy such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1225496284NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225XP0200XOccupational Therapist - Pediatrics OT004775 (Georgia)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Peach State Pediatric Therapy is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Peach State Pediatric Therapy
4992 Bristol Industrial Way,
Buford, GA 30518-1742

Ph: (770) 904-6419
Peach State Pediatric Therapy
4992 Bristol Industrial Way,
Buford, GA 30518-1742

Ph: (770) 904-6419

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› Verified 4 days ago


Occupational Therapist in Buford, GA

Latess Echavarria,
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 2625 Suncrest Dr, Buford, GA 30519
Phone: 269-416-0549    
Keri S Converse, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 470 S. Hill Street, Helping Hands Pediatric Therapy, Buford, GA 30518
Phone: 678-482-6100    Fax: 770-932-5680
Mrs. Jennifer Linington, O.T.
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4992 Bristol Industrial Way, Buford, GA 30518
Phone: 770-904-6419    
Mrs. Lindsey Milner Willis, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4992 Bristol Industrial Way, Buford, GA 30518
Phone: 770-904-6419    Fax: 770-904-6418
Nisha Shah, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 470 South Hill Street, Helping Hands Pediatric Therapy, Inc., Buford, GA 30518
Phone: 678-482-6100    Fax: 770-932-5684
Michelle Prather,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 4992 Bristol Industrial Way, Buford, GA 30518
Phone: 770-904-6419    
Esmeralda Cruz, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2140 Buford Hwy Ste 109, Buford, GA 30518
Phone: 470-589-1742    Fax: 470-588-8730

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