Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Spark Path Therapy LLC

Organization Pediatric Occupational Therapist · NPI 1124622568

Spark Path Therapy LLC provides Pediatric Occupational Therapist services in Dawsonville, Georgia. Registered with an NPI since 2020.

In the registry since
2020
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

27 Frost Ln
Dawsonville, GA 30534-4349
Phone: (770) 618-9200
Fax: (770) 618-9300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Occupational Therapist (primary) Taxonomy 225XP0200X

Record details

NPI number1124622568
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Angela Sparks — Owner · (770) 618-9200
NPI enumeratedNovember 25, 2020
Last updated in NPPESMay 12, 2025
Certification dateMay 12, 2025
Mailing address27 Frost Ln, Dawsonville, GA 30534-4349

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