IVY EVATT
NPI 1376427559
Occupational Therapist in Dallas, GA

Active since August 01, 2025
3044 DUE WEST RD, DALLAS, GA 30157(770) 443-9672 Get Directions Write a Review

NPPES record last updated: August 1, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ivy Evatt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IVY EVATT (NPI 1376427559) is an individual occupational therapist in Dallas, Georgia and active in the NPI registry since August 2025. She is a graduate of Other (2023).

NPPES Registry Identity

NPI1376427559
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameIVY EVATT
Location Address3044 DUE WEST RDDallas, GA 30157-2125
Mailing Address3044 Due West RdDallas, GA 30157-2125
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateAugust 1, 2025
NPPES CertifiedAugust 1, 2025
NPI 1376427559 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
3044 DUE WEST RD, Dallas, GA 30157

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Ivy Evatt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1557855913
PECOS Enrollment IDI20251212000578

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Speech-Language Pathologist
3044 DUE WEST RD
DALLAS, GA 30157
Occupational Therapist
3044 DUE WEST RD
DALLAS, GA 30157
Speech-Language Pathologist
3044 DUE WEST RD
DALLAS, GA 30157
Physical Therapist
3044 DUE WEST RD
DALLAS, GA 30157
Occupational Therapist (Pediatrics)
3044 DUE WEST RD
DALLAS, GA 30157
Speech-Language Pathologist
3044 DUE WEST RD
DALLAS, GA 30157
Speech-Language Pathologist
3044 DUE WEST RD
DALLAS, GA 30157
Occupational Therapist
3044 DUE WEST RD
DALLAS, GA 30157

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivy Evatt's NPI number?

The NPI number for Ivy Evatt is 1376427559. It was assigned to this individual provider in the NPPES registry on August 1, 2025.

Where is Ivy Evatt located?

Ivy Evatt practices at 3044 Due West Rd, Dallas, GA 30157. The listed phone number is (770) 443-9672.

What is Ivy Evatt's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Ivy Evatt enrolled in Medicare?

Yes. Ivy Evatt is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Ivy Evatt was last updated on August 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.