P Praxis·MD
● Active Type 2 · Organization

Functional Vitality

Occupational Therapist·Conyers, GA· NPI 1497484778 · Enumerated 2022 · 3 years on NPI
Functional Vitality is 1 of 3276 occupational therapist organizations in Georgia.
NPI age
3 years
Enumerated 2022-06-10
Primary specialty
Occupational Therapist
Plus 1 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Echavarria
Owner
Last NPPES update
2022-06-16
Source: monthly bulk 2026-05

How this organization compares

Across 3276 active occupational therapist providers in Georgia.

NPI age
3 years
↓ 6 yr below median
Practice locations
2
1 secondary on file
Subspecialties
1
In the 14% of peers with subspecialties

NPI lifetime · 2022 → 2026

2022-06Enumerated in NPPES
2022 2026

Where they practice

Primary practice location
2375 Wall St Se Ste 240
Conyers, GA 300136702
📞 6782788348fax 4702763158
Mailing address
680 Grandview Rd
Mansfield, GA 300552571
📞 4702660623fax 4702763158

Additional practice locations

1 secondary location on file with NPPES.

Location 2
1311 Milstead Ave Ne
Conyers, GA 300123829
📞 4702660623

Authorized official

Latess Echavarria, OT
Owner
📞 4702660623

Individual providers at this organization

7 individual providers on file at this primary practice address.

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...
    taxonomy 225X00000X
  • Clinic/Center
    Definition to come...
    taxonomy 261QR0400X

Practice context

Multi-provider organization. 7 individual providers on file at this primary address. Plus 1 secondary practice location.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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