Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ivy Evatt

Individual provider Occupational Therapist · NPI 1376427559

Ivy Evatt is an Occupational Therapist in Private Practice in Dallas, Georgia. Qualified in 2023, 3 years ago. Practices with Fox Rehabilitation Ga, LLC, a 107-clinician group.

Years since qualifying
3
In the registry since
2025
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Practice location Address checks out

3044 Due West Rd
Dallas, GA 30157-2125
Phone: (770) 443-9672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1376427559
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 1, 2025
Last updated in NPPESAugust 1, 2025
Certification dateAugust 1, 2025
Mailing address3044 Due West Rd, Dallas, GA 30157-2125

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Fox Rehabilitation Ga, Llc — 107 clinicians
Accepts Medicare assignment Not indicated

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