P Praxis·MD
● Active Type 1 · Individual

MRS. Marianne Bevilacqua-Harding

Occupational Therapist·Statham, GA· NPI 1053508713 · Enumerated 2007 · 18 years on NPI
Bevilacqua-Harding is 1 of 2 occupational therapist providers in Statham and 1 of 3276 in Georgia.
NPI age
18 years
Enumerated 2007-09-26
Primary specialty
Occupational Therapist
Licensed in
PA
1 state
Status
Active
No deactivations on record
Last NPPES update
2015-01-06
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 3276 active occupational therapist providers in Georgia.

NPI age
18 years
↑ 9 yr above median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-09Enumerated in NPPES
2007 2026

Where they practice

Practice location
1774 Gentry Ln
Statham, GA 306662059
📞 4848830919
Mailing address
1774 Gentry Ln
Statham, GA 306662059
📞 4848830919

Specialties

  • Occupational Therapist Primary
    An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the...
    PA license #OC006148L taxonomy 225X00000X

Identifiers

TypeValueNotes
01 (PA) 1020403110001 PROMISE PROVIDER ID#

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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