Latasha Nicole Mallard
Occupational Therapy Assistant · Carrollton, GA
Latasha Nicole Mallard is an occupational therapy assistant with a practice address in Carrollton, Georgia, and NPI 1053183723, issued on Oct 26, 2023. Check the license (Georgia OTA002989, as entered in NPPES) with the Georgia board that licenses this profession; the federal record below is the public data PlainDoctor holds for this provider.
- Name
- Latasha Nicole Mallard
- Primary taxonomy
- Occupational Therapy Assistant 224Z00000X
- License number
- OTA002989 GA
Self-reported in NPPES; status is on the state search - Practice location
- 150 Cottage LN, Carrollton, GA 30117
- Phone
- (770) 830-8857
- Enumerated
- Oct 26, 2023
- Record last updated
- Oct 26, 2023
- Entity
- Type 1 · individual
Also registered at 150 Cottage LN
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Kristen WyattSpeech-Language Pathologist1346135415
Verify Latasha Nicole Mallard in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Georgia board licenses this profession
Search for license OTA002989Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Occupational Therapy Assistant providers in Georgia
There are 566 occupational therapy assistant records in Georgia. No Medicare prescribing, quality score, industry payment or hospital affiliation is published for this NPI.
Other occupational therapy assistant records in Georgia
- Pamela Abbott, COTA/LHiawassee, GA1093302515
- Amina Abdul-RashidLawrenceville, GA1942544390
- Kalyka Abraham, COTAAugusta, GA1255265682
- Ashley Acosta, COTA/LAugusta, GA1619843398
- Scardy AdamSocial Circle, GA1366029688
- Janice Adams, OTADublin, GA1255653671
- Keshia AdamsDouglasville, GA1003528969
- Korina Adams, COTA-LAlpharetta, GA1215222930
- Harnitha Alexander, OTARichmond Hill, GA1154108140
- Allya Allaway, COTA/LSnellville, GA1750831590
Common questions
What is Latasha Nicole Mallard's NPI number?
Latasha Nicole Mallard's National Provider Identifier (NPI) is 1053183723, issued on Oct 26, 2023. An NPI identifies a provider in billing; it is not a license.
Where is Latasha Nicole Mallard located?
The NPPES record lists a practice address at 150 Cottage LN, Carrollton, GA, 30117. Phone: (770) 830-8857. Providers update this record themselves, so call before visiting.
How can I verify Latasha Nicole Mallard's license?
NPPES lists Georgia license number OTA002989, as entered by the provider. Search the Georgia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.