P Praxis·MD
● Active Type 1 · Individual

MR. Jerrold Gibbs, COTA/L

Occupational Therapy Assistant·Decatur, GA· NPI 1659965838 · Enumerated 2021 · 5 years on NPI
Gibbs is 1 of 14 occupational therapy assistant providers in Decatur and 1 of 565 in Georgia.
NPI age
5 years
Enumerated 2021-02-27
Primary specialty
Occupational Therapy Assistant
Plus 1 subspecialty
Licensed in
GA, CA
2 states
Status
Active
No deactivations on record
Last NPPES update
2021-02-27
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 565 active occupational therapy assistant providers in Georgia.

NPI age
5 years
↓ 3 yr below median (8 yr)
State licenses
2 states
Top 90% — 9% of peers are multi-state
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-02Enumerated in NPPES
2021 2026

Where they practice

Practice location
2787 N Decatur Rd
Decatur, GA 300335919
📞 4042920626
Mailing address
152 Spring St
Jonesboro, GA 302363555
📞 4049600853

Specialties

  • Occupational Therapy Assistant Primary
    An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has...
    GA license #OTA001697CA license #OTA3164 taxonomy 224Z00000X

Practice context

Part of a multi-provider practice. 6 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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