NPI age
19 years
Enumerated 2006-12-18
● Active
Type 1 · Individual
Jennifer Robin Vistnes, O.T.
Vistnes is 1 of 100 occupational therapist providers in Lawrenceville and 1 of 3276 in Georgia.
Primary specialty
Occupational Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-09
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 3276 active occupational therapist providers in Georgia.
NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
14% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Practice location
318 W Pike St, Suite 104
Lawrenceville, GA 300453234
Mailing address
4521 Shiloh Rd
Loganville, GA 300523551
Specialties
-
Occupational Therapist PrimaryAn 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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 00840804B | |
| 01 (GA) | 10037643 | AMERIGROUP PROVIDER NUMBE |
| 01 (GA) | 307939 | WELLCARE PROVIDER NUMBER |
Practice context
Part of a multi-provider practice. 24 other active providers share this practice address in NPPES.
Recently enumerated nearby: 3 new occupational therapist providers have been added in Lawrenceville in the last 180 days.
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