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

Nicole Adair Mathis, OT

Individual provider Occupational Therapist · NPI 1619432036

Nicole Adair Mathis, OT is an Occupational Therapist in Private Practice in Kennesaw, Georgia. Qualified in 2018, 8 years ago. Practices with Independent Physical Therapy of Georgia LLC, a 529-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Georgia and North Carolina.

Years since qualifying
8
Licensed in
GA, NC
In the registry since
2019
Specialties on file
2
What do these letters mean?
OT — Occupational Therapist
Helps people regain the skills needed for daily living and work.

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Practice location Address checks out

600 Chastain Rd NW Ste 428
Kennesaw, GA 30144-3210
Phone: (770) 425-6701
Fax: (770) 425-6703
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 207 E Meadow Rd Ste 3, Eden, NC 27288-3469 — (336) 627-3771

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT008025 (GA)
Occupational Therapist Taxonomy 225X00000X · Licence 12293 (NC)

Record details

NPI number1619432036
Entity typeIndividual (Type 1)
GenderFemale
Credentials OT
Sole proprietorNo
NPI enumeratedFebruary 11, 2019
Last updated in NPPESApril 29, 2021
Certification dateApril 29, 2021

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Independent Physical Therapy Of Georgia Llc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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