NPI age
3 years
Enumerated 2022-08-09
● Active
Type 1 · Individual
Dominique Peterson
Peterson is 1 of 3 occupational therapist providers in Morrow and 1 of 516 in Georgia.
Primary specialty
Occupational Therapist
Licensed in
—
0 states
Status
Active
No deactivations on record
Last NPPES update
2022-08-09
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 516 active occupational therapist providers in Georgia.
NPI age
3 years
↓ 9 yr below median (12 yr)
State licenses
1 state
3% of peers hold multiple states
Subspecialties
0
19% of peers hold subspecialties
NPI lifetime · 2022 → 2026
2022-08Enumerated in NPPES
2022
2026
Where they practice
Practice location
2201 Mount Zion Pkwy
Morrow, GA 302603312
Mailing address
2201 Mount Zion Pkwy
Morrow, GA 302603312
Specialties
-
Occupational Therapist PrimaryOccupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 1598046245 |
Practice context
Part of a multi-provider practice. 19 other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.