Scardy Adam

Occupational Therapy Assistant · Social Circle, GA

Individual Active NPI

NPI number 1366029688

Practice location

671 N Cherokee Rd
Social Circle, GA 30025-2886
Phone
(770) 464-2019

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NPI record

NPI
1366029688
Entity type
Individual (Type 1)
Enumeration date
March 24, 2021
Last updated
July 16, 2024
Certified
July 16, 2024
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X OTA002734 CA
Occupational Therapy Assistant 224Z00000X OTA002734 GA

Mailing address

3008 New Haven Ln
Villa Rica, GA 30180-5810
Phone
(260) 804-2505

About Scardy Adam

Scardy Adam is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 671 N Cherokee Rd, Social Circle, GA 30025-2886. The NPI number 1366029688 was assigned on March 24, 2021 and the record was last updated on July 16, 2024.

Scardy Adam lists 2 licenses in the registry: #OTA002734 (CA) for Occupational Therapy Assistant; #OTA002734 (GA) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Scardy Adam?

The NPI number is 1366029688.

What is the phone number of Scardy Adam?

The phone number listed for the practice location is (770) 464-2019.

Where is Scardy Adam located?

671 N Cherokee Rd, Social Circle, GA 30025-2886.

What is the taxonomy code for Scardy Adam?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.