Active NPI
Christina C Kelley, OTR/L
- Occupational Therapist
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT007885
- Practice address
- 400 Tower Rd NE Ste 140
Marietta, GA 30060-9412 - Phone
- (770) 419-9437
- Fax
- (770) 419-9443
- NPI assigned
- Oct 20, 2020
- Sex
- Female
- Sole proprietor
- No
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 | OT007885 | GA | Primary |
Addresses
Primary practice location
400 Tower Rd NE Ste 140
Marietta, GA 30060-9412
Mailing address
1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217
Other practice location 1
690 Mount Vernon Hwy NE
Atlanta, GA 30328-4221
Phone (404) 843-8857
Other names 1
- Christina R Carroll
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)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Independent Physical Therapy of Georgia, LLC | Occupational Therapist | Current | Accepting new patients |
| Fox Rehabilitation Ga, LLC | Occupational Therapist | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
718 Cherokee St NE
Ste 10
Marietta, GA 30060
Phone (470) 787-2932
400 Tower Rd NE
Ste 140
Marietta, GA 30060
Phone (770) 419-9437
Organizations & group practices 3
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.
-
dba Benchmark PT
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
-
dba BenchMark Physical Therapy
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603152000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1073112140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 CORPORATE DR STE 400",
"city": "HOOVER",
"state": "AL",
"postal_code": "352425424",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "400 TOWER RD NE STE 140",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300609412",
"telephone_number": "770-419-9437",
"fax_number": "770-419-9443"
}
],
"practiceLocations": [
{
"address_1": "690 Mount Vernon Hwy NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303284221",
"country_code": "US",
"telephone_number": "404-843-8857",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KELLEY",
"first_name": "CHRISTINA",
"middle_name": "C",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-20",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT007885",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTINA",
"last_name": "CARROLL",
"middle_name": "R",
"code": "1",
"type": "Former Name"
}
]
}
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 Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.