Provider Demographics
NPI:1861526188
Name:PREFERRED OCCUPATIONAL THERAPY SERVICES, INC
Entity type:Organization
Organization Name:PREFERRED OCCUPATIONAL THERAPY SERVICES, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARTHA
Authorized Official - Middle Name:MARTIN
Authorized Official - Last Name:WRIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:MHS, OTRL
Authorized Official - Phone:912-351-4263
Mailing Address - Street 1:6606 ABERCORN ST
Mailing Address - Street 2:SUITE 118
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-5817
Mailing Address - Country:US
Mailing Address - Phone:912-351-4263
Mailing Address - Fax:912-351-9650
Practice Address - Street 1:6606 ABERCORN ST
Practice Address - Street 2:SUITE 118
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-5817
Practice Address - Country:US
Practice Address - Phone:912-351-4263
Practice Address - Fax:912-351-9650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-16
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA000663225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAGRP4059Medicare ID - Type Unspecified