P Praxis·MD
● Active Type 1 · Individual

Samantha A Guillen, COTA

Occupational Therapy Assistant·Acworth, GA· NPI 1962642009 · Enumerated 2009 · 17 years on NPI
Guillen is 1 of 3 occupational therapy assistant providers in Acworth and 1 of 565 in Georgia.
NPI age
17 years
Enumerated 2009-03-03
Primary specialty
Occupational Therapy Assistant
Licensed in
NC
1 state
Status
Active
No deactivations on record
Last NPPES update
2009-03-03
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
17 years
↑ 9 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2009 → 2026

2009-03Enumerated in NPPES
2009 2026

Where they practice

Practice location
5593 Forkwood Drive Nw
Acworth, GA 30101
📞 6789234295fax 7709191752
Mailing address
5593 Forkwood Drive Nw
Acworth, GA 30101
📞 6789234295fax 7709191752

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...
    NC license #23629986 taxonomy 224Z00000X

Practice context

Part of a multi-provider practice. 1 other active provider shares 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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