Rosaline Elizabeth Prince, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT007666 Issued in GA

Practice address

4460 Celebration Blvd
Acworth, GA 30101-1105

Phone

(678) 594-3570

NPI assigned

May 23, 2020

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

Other names 1

• Rosaline Elizabeth Cason Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1590192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613001600000",
    "number": "1033732177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MILLBROOK TRCE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300683751",
            "telephone_number": "770-367-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 CELEBRATION BLVD",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301011105",
            "telephone_number": "678-594-3570"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4838 S Cobb Dr SE",
            "address_purpose": "LOCATION",
            "city": "Smyrna",
            "state": "GA",
            "postal_code": "300807121",
            "country_code": "US",
            "telephone_number": "678-210-7135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRINCE",
        "first_name": "ROSALINE",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-05-23",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "we.doc",
            "affiliation": "Y",
            "affiliationName": "THE WESTON GROUP INC.",
            "address_1": "4460 Celebration Blvd",
            "city": "Acworth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301011105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ROSALINE",
            "last_name": "CASON",
            "middle_name": "ELIZABETH",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Devin Prather
• Prehab Lab LLC
• Premier Surgical Management LLC
• Preston Gantt, MD, Sa-C
• Lindsey Nicole Prewitt, MPT
• Procare Eye Center
• Prodiagnostics Medical Center
• Prodiagnostics Medical Center
• Professional Dental Alliance of Georgia, LLC
• Lori Ann Pruitt, OTR/L

• Occupational Therapist in Acworth, GA
• Providers in Acworth, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 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.