Active NPI
Christopher Freeman
- Occupational Therapy Assistant
- Marietta, GA
National Provider Identifier
1063820140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA001749
- Practice address
- 1551 Johnson Ferry Rd
Genesis Rehab Services
Marietta, GA 30062-6438 - Phone
- (770) 509-0919
- NPI assigned
- Aug 1, 2014
- Sex
- Male
- 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 Therapy Assistant | 224Z00000X | OTA001749 | GA | Primary |
Addresses
Primary practice location
1551 Johnson Ferry Rd
Genesis Rehab Services
Marietta, GA 30062-6438
Mailing address
1391 Collier Rd NW Apt 3108
Atlanta, GA 30318-7445
Phone (678) 427-7925
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 |
|---|---|---|---|
| OTA001749 | GA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1406851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1406851200000",
"number": "1063820140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1391 COLLIER RD NW APT 3108",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303187445",
"telephone_number": "678-427-7925"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1551 JOHNSON FERRY RD",
"address_2": "GENESIS REHAB SERVICES",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300626438",
"telephone_number": "770-509-0919"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FREEMAN",
"first_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-08-01",
"last_updated": "2014-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "GA",
"license": "OTA001749",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.