Active NPI
Louisa L Affleck, O.T.R.
- Occupational Therapist
- Atlanta, GA
National Provider Identifier
1093881690
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT-GA130
- Practice address
- 59 Executive Drive South
Suite1100
Atlanta, GA 30329-2208 - Phone
- (404) 778-6330
- NPI assigned
- Nov 27, 2006
- Last updated
- Dec 6, 2011
- 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 | OT-GA130 | GA | Primary |
Addresses
Primary practice location
59 Executive Drive South
Suite1100
Atlanta, GA 30329-2208
Mailing address
8259 Wicker Ave
Saint John, IN 46373-8878
Phone (219) 365-6560
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT-GA130 | Other | GA | STATE LISC NUMBER |
Other names 1
- Louisa Lothrop
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT-GA130 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emory Physical Therapy, LLC | Past | Accepting new patients | |
| Emory Physical Therapy, LLC | Past | 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.
-
- Physical Therapy Clinic/Center
- Brookhaven, GA
- NPI 1720097561
-
- Physical Therapy Clinic/Center
- Duluth, GA
- NPI 1831108695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1323129600000",
"number": "1093881690",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8259 WICKER AVE",
"city": "SAINT JOHN",
"state": "IN",
"postal_code": "463738878",
"telephone_number": "219-365-6560",
"fax_number": "219-365-6561"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59 EXECUTIVE DRIVE SOUTH",
"address_2": "SUITE1100",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303292208",
"telephone_number": "404-778-6330"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AFFLECK",
"first_name": "LOUISA",
"middle_name": "L",
"credential": "O.T.R.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-27",
"last_updated": "2011-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT-GA130",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LISC NUMBER",
"identifier": "OT-GA130",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LOUISA",
"last_name": "LOTHROP",
"credential": "O.T.R.",
"code": "5",
"type": "Other Name"
}
]
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.