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

Jake Parham, OTR/L

Individual provider Behavior Technician · NPI 1790324101

Jake Parham, OTR/L is an Occupational Therapist in Private Practice in Fayetteville, Georgia. Qualified in 2022, 4 years ago. Practices with Benchmark Physical Therapy, Inc, a 71-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
4
Licensed in
GA
In the registry since
2020
Specialties on file
3
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

1275 Highway 54 W Ste 200
Fayetteville, GA 30214-4538
Phone: (770) 460-8609
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Hand Occupational Therapist (primary) Taxonomy 225XH1200X · Licence OT008793 (GA)
Behavior Technician Taxonomy 106S00000X
Pediatric Occupational Therapist Taxonomy 225XP0200X · Licence OT008793 (GA)

Record details

NPI number1790324101
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR/L
Sole proprietorNo
NPI enumeratedJanuary 2, 2020
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Benchmark Physical Therapy, Inc — 71 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fayetteville