Southern Occupational Therapy Services, Inc.

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT001002 Issued in GA

Legal business name

SOUTHERN OCCUPATIONAL THERAPY SERVICES, INC.

Practice address

9800 Hutcheson Ferry Rd
Palmetto, GA 30268-2317

Phone

(770) 401-0296

Fax

(770) 463-5398

NPI assigned

May 15, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Shirley Edwards Thomas, OTR/LNPI 1891103826

Title

Occupational Therapist

Phone

(770) 401-0296

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Shirley Thomas, OT

  • Occupational Therapist
  • Chattahoochee Hills, GA
  • NPI 1891103826
  NPD (past) Authorized official

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

{
    "created_epoch": "1147651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1104877117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9800 HUTCHESON FERRY RD",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302682317",
            "telephone_number": "770-401-0296",
            "fax_number": "770-463-5398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9800 HUTCHESON FERRY RD",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302682317",
            "telephone_number": "770-401-0296",
            "fax_number": "770-463-5398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN OCCUPATIONAL THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "SHIRLEY",
        "authorized_official_middle_name": "EDWARDS",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "770-401-0296",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT001002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Palmetto, GA
• Providers in Palmetto, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.