Iraisa M Josepha, COTA/L

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

OTA001020 Issued in GA

Practice address

6849 Peachtree Dunwoody Rd NE
Suite 102 BLG-1
Atlanta, GA 30328-1610

Phone

(866) 587-9922

Fax

(678) 587-9993

NPI assigned

Sep 15, 2007

Last updated

Sep 15, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1189814400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1189814400000",
    "number": "1023204823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6849 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 102 BLG-1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303281610",
            "telephone_number": "866-587-9922",
            "fax_number": "678-587-9993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6849 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 102 BLG-1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303281610",
            "telephone_number": "866-587-9922",
            "fax_number": "678-587-9993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOSEPHA",
        "first_name": "IRAISA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-15",
        "last_updated": "2007-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "OTA001020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Joseph
• Susan Joseph, L.C.S.W., B.C.D.
• Susan Gloria Joseph, PH.D.
• Tatiana Joseph
• Vanessa Landy Joseph
• Lydia Agnes Josephs, M.D.
• Cassandra D. Josephson, M.D.
• Maria Josey, LCSW
• Josh Gebhardt, LLC (The Gebhardt Group)
• Meha Avinash Joshi, MD, MPH

• Home Health Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2007; 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.