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

Individual provider Occupational Therapist · NPI 1073401923

Ryan Harley, OTR is an Occupational Therapist in Private Practice in Augusta, Georgia. Qualified in 2025, 1 year ago. Practices with Proactive Rehabilitation and Wellness LLC, an 8-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
1
Licensed in
GA
In the registry since
2025
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

2103 Reedale Ave
Augusta, GA 30906-3430
Phone: (706) 814-6887
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT009585 (GA)

Record details

NPI number1073401923
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorNo
NPI enumeratedJune 26, 2025
Last updated in NPPESJune 26, 2025
Certification dateJune 5, 2025
Mailing address1010 Carolina Ave, Rincon, GA 31326-9141

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Proactive Rehabilitation And Wellness Llc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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