P Praxis·MD
● Active Type 1 · Individual

Chandler Henshaw Edge, COTA/L

Occupational Therapy Assistant·Kathleen, GA· NPI 1841950441 · Enumerated 2021 · 4 years on NPI
Edge is 1 of 2 occupational therapy assistant providers in Kathleen and 1 of 565 in Georgia.
NPI age
4 years
Enumerated 2021-12-22
Primary specialty
Occupational Therapy Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2021-12-22
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 565 active occupational therapy assistant providers in Georgia.

NPI age
4 years
↓ 4 yr below median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2021 → 2026

2021-12Enumerated in NPPES
2021 2026

Where they practice

Practice location
402 General Courtney Hodges Boulevard, 301
Kathleen, GA 31047
📞 4782132927
Mailing address
402 General Courtney Hodges Boulevard, 301
Kathleen, GA 31047
📞 4782132927

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 #OTA002569 taxonomy 224Z00000X

Identifiers

TypeValueNotes
01 (GA) 87-405-3673 BCBS, UNITED HEALTHCARE, AETNA, TRICARE, CIGNA, HUMANA, SELF-PAY

Practice context

Solo or small practice. No 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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