Individual provider Active NPI

Shelley Rachelle Margow, OTD.OTR/L

  • Occupational Therapist
  • Roswell, GA
National Provider Identifier
1043368616
Registry record updated Mar 2, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT001920 Issued in GA
Practice address
11660 Alpharetta Hwy
Suite 320
Roswell, GA 30076-4943
Phone
(770) 754-0085
Fax
(770) 754-9715
NPI assigned
Jan 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT001920 GA Primary

Addresses

Primary practice location

11660 Alpharetta Hwy
Suite 320
Roswell, GA 30076-4943

Mailing address

3050 Royal Blvd S Ste 115
Alpharetta, GA 30022-4484
Phone (770) 310-4586

Other identifiers 1

IdentifierTypeStateIssuer
000720717BMedicaidGA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address shelley@childrenstherapyworks.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT001920GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Let'S Learn Inc Occupational Therapist Past Accepting new patients
Georgia Developmental Services Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1168214400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583107200000",
    "number": "1043368616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3050 ROYAL BLVD S STE 115",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300224484",
            "telephone_number": "770-310-4586",
            "fax_number": "770-754-9288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11660 ALPHARETTA HWY",
            "address_2": "SUITE 320",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764943",
            "telephone_number": "770-754-0085",
            "fax_number": "770-754-9715"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARGOW",
        "first_name": "SHELLEY",
        "middle_name": "RACHELLE",
        "name_prefix": "Dr.",
        "credential": "OTD.OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-08",
        "last_updated": "2020-03-02",
        "certification_date": "2020-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT001920",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000720717B",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "shelley@childrenstherapyworks.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "11660 Alpharetta Hwy",
            "address_2": "Suite 320",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300764943",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2020; 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.