Active NPI
Kelly Nastasi
- Occupational Therapist
- Fayetteville, GA
National Provider Identifier
1043461858
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT004626
- Practice address
- 130 Howard LN
Fayetteville, GA 30215-1849 - Phone
- (770) 460-0165
- NPI assigned
- Oct 10, 2008
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT004626 | GA | Primary |
Addresses
Primary practice location
130 Howard LN
Fayetteville, GA 30215-1849
Mailing address
130 Howard Lane
Fayetteville, GA 30215
Phone (770) 460-0165
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT004626 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223596800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1223596800000",
"number": "1043461858",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 HOWARD LANE",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "30215",
"telephone_number": "770-460-0165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 HOWARD LN",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302151849",
"telephone_number": "770-460-0165"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NASTASI",
"first_name": "KELLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-10-10",
"last_updated": "2008-10-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT004626",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, GA
- My Health Reassurance P.C.
- Tiffany Myrick, RBT
- Myrtle Davenport Healthcare Services LLC (MD Behavioral and Wellness)
- Paul Agbor Naenge, MSN, APRN
- Ryan Curtis Napp, D.C.
- Lateefah Nation, RD, LD
- National Medical Equipment & Supply Company LLC
- National Vision, Inc. (America's Best Contacts & Eyeglasses)
- Nations Health Services, Inc
- Matilda Nchifor, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.