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Occupational Therapist
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NPI 1497484778
● Active Type 2 · Organization
Functional Vitality
Occupational Therapist · Conyers, GA · NPI 1497484778
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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
2022-06 Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
2375 Wall St Se Ste 240
Conyers, GA 300136702
📞 6782788348 fax 4702763158
Mailing address
680 Grandview Rd
Mansfield, GA 300552571
📞 4702660623 fax 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
Confirm the NPI on NPPES. The CMS registry is the system of record. Open NPPES →
Verify the organization is in good standing. Cross-check with the state's business registration and any applicable licensing boards.
Confirm payer enrollment if billing. NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.
Updated 2026-05-14
· Source: CMS NPPES bulk export. Praxis MD refreshes the directory monthly with weekly delta updates.
Independent public resource. Not affiliated with CMS, HHS, or NPPES. Not endorsed by the U.S. government.
NPI listing is not proof of active licensure or payer enrollment.