Individual provider Active NPI

Ashley Keating, OTR/L

  • Occupational Therapist
  • Marietta, GA
National Provider Identifier
1093390239
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT008965 Issued in GA
Practice address
400 Tower Rd NE Ste 140
Marietta, GA 30060-9412
Phone
(866) 483-5378
NPI assigned
Mar 9, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA002353 GA
Occupational Therapist 225X00000X OT008965 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 (866) 518-0283

Other practice location 1

960 Joe Frank Harris Pkwy SE
Cartersville, GA 30120-2129
Phone (470) 490-1000

Other practice location 2

121 Puckett Creek Dr
Canton, GA 30114-6408
Phone (607) 242-4625

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

State licenses

LicenseStateTypeSpecialty
OTA002353GAMDOccupational Therapy Assistant
OT008965GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benchmark Physical Therapy Inc Occupational Therapist CurrentSince Jul 15, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Occupational Therapist CurrentSince Jul 15, 2024 Accepting new patients
Benchmark Physical Therapy, Inc CurrentSince Jul 15, 2024 Accepting new patients
Independent Physical Therapy of Georgia, LLC Occupational Therapist CurrentSince Jul 15, 2024 Accepting new patients
Agilitas USA Inc Occupational Therapist CurrentSince Jul 15, 2024 Accepting new patients
Agilitas USA, Inc Occupational Therapist CurrentSince Jul 15, 2024 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

7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660

400 Tower Rd NE
Ste 140
Marietta, GA 30060
Phone (770) 419-9437

Organizations & group practices 6

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": "1615248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721088000000",
    "number": "1093390239",
    "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": "866-518-0283"
        },
        {
            "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": "866-483-5378"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "960 Joe Frank Harris Pkwy SE",
            "address_purpose": "LOCATION",
            "city": "Cartersville",
            "state": "GA",
            "postal_code": "301202129",
            "country_code": "US",
            "telephone_number": "470-490-1000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "121 Puckett Creek Dr",
            "address_purpose": "LOCATION",
            "city": "Canton",
            "state": "GA",
            "postal_code": "301146408",
            "country_code": "US",
            "telephone_number": "607-242-4625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEATING",
        "first_name": "ASHLEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-09",
        "last_updated": "2024-07-16",
        "certification_date": "2024-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA002353",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT008965",
            "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 Jul 16, 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.

Verify at the official NPI Registry.