Keisy Arislu Lopez-Lomeli, OTD

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT006916 Issued in GA

Practice address

351 Thornton Rd Ste 125
Lithia Springs, GA 30122-1589

Phone

(770) 577-0399

NPI assigned

Jul 19, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Tailored Occupational Therapy LLC

  • Specialist
  • Lithia Springs, GA
  • NPI 1265500243
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626652800000",
    "number": "1003489048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4575 DURON PL SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301261177",
            "telephone_number": "712-389-7919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "351 THORNTON RD STE 125",
            "city": "LITHIA SPRINGS",
            "state": "GA",
            "postal_code": "301221589",
            "telephone_number": "770-577-0399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOPEZ-LOMELI",
        "first_name": "KEISY",
        "middle_name": "ARISLU",
        "credential": "OTD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-19",
        "last_updated": "2021-07-19",
        "certification_date": "2021-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT006916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Computer",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "4575 Duron Pl SW",
            "city": "Mableton",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301261177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Linda D. Ford, M.D.P.C.
• Lithia Springs Cosmetic and Family Dentistry P.C.
• Lithia Springs Family Chiropractic, Inc.
• Sheila Renee Littles, DNP, NP
• Beth Looney, RDN
• Suzanne Lee Lowry, M.D.
• Tabitha Macon
• Takeisha S Mann, OTR/L
• Cyntoria Mason, DC
• Kayla Marie Mathis

• Pediatric Occupational Therapist in Lithia Springs, GA
• Providers in Lithia Springs, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.