Sheelah Lynne Koch-Cochran, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OTOO4100 Issued in GA

Practice address

5455 Meridian Marks Rd NE
Suite 300
Atlanta, GA 30342-1654

Phone

(404) 785-3781

Fax

(404) 785-3769

NPI assigned

Apr 11, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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": "1176249600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1023231768",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4197 LONG BRANCH DR NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662468",
            "telephone_number": "404-785-3781",
            "fax_number": "404-785-3769"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5455 MERIDIAN MARKS RD NE",
            "address_2": "SUITE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421654",
            "telephone_number": "404-785-3781",
            "fax_number": "404-785-3769"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOCH-COCHRAN",
        "first_name": "SHEELAH",
        "middle_name": "LYNNE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-11",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OTOO4100",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004100",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "878844045A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Miwako Kobayashi
• Elizabeth Kobe, D.O.
• Bobbi J Koblasz, AAC
• Mary Augusta Koblasz, RN, CNS
• Lisa Kobrynski, MD
• David Donald Koch, PHD
• Heather Koch
• Kay Ellen Koch, OTRL, ATP
• Laura Colman Koch, D.M.D.
• Rachel Koch

• Pediatric Occupational Therapist in Atlanta, GA
• Providers in Atlanta, 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 May 25, 2010; 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.