P Praxis·MD
● Active Type 1 · Individual

DR. Lacy Lee Gardner-Hattaway, OTD, OTR/L, C/NDT

Occupational Therapist·Gray, GA· NPI 1073838413 · Enumerated 2010 · 16 years on NPI
Gardner-Hattaway is 1 of 1 occupational therapist providers in Gray and 1 of 3276 in Georgia.
NPI age
16 years
Enumerated 2010-03-29
Primary specialty
Occupational Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2020-03-13
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
16 years
↑ 7 yr above median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties

NPI lifetime · 2010 → 2026

2010-03Enumerated in NPPES
2010 2026

Where they practice

Practice location
922 Ga Highway 18 W
Gray, GA 310323734
📞 4789868527
Mailing address
922 Ga Highway 18 W
Gray, GA 310323734
📞 4789868527

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1014 Forsyth St
MacOn, GA 312012051
📞 4786332742

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...
    GA license #OT005050 taxonomy 225X00000X

Identifiers

TypeValueNotes
05 (GA) 573697931D

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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