Individual provider Active NPI

Caitlin Pardus, OTR/L

  • Occupational Therapist
  • Norcross, GA
National Provider Identifier
1053080820
Registry record updated Jan 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT008167 Issued in GA
Practice address
3985 Steve Reynolds Blvd BLDG G
Norcross, GA 30093-3001
Phone
(770) 622-2532
NPI assigned
Sep 7, 2021
Last updated
Jan 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2022

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 OT008167 GA Primary

Addresses

Primary practice location

3985 Steve Reynolds Blvd BLDG G
Norcross, GA 30093-3001

Mailing address

3985 Steve Reynolds Blvd BLDG G
Norcross, GA 30093-3001

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
OT008167GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Center for the Visually Impaired PastSince Sep 1, 2021 Accepting new patients
Atlanta International PT, Inc Occupational Therapist PastSince Jan 26, 2022 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1630972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642723200000",
    "number": "1053080820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3985 STEVE REYNOLDS BLVD BLDG G",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3985 STEVE REYNOLDS BLVD BLDG G",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300933001",
            "telephone_number": "770-622-2532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDUS",
        "first_name": "CAITLIN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-07",
        "last_updated": "2022-01-21",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2022; 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.