Active NPI
Esmeralda Cruz, OTR/L
- Occupational Therapist
- Buford, GA
National Provider Identifier
1124537436
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT006812
- Practice address
- 2140 Buford Hwy Ste 109
Buford, GA 30518-6121 - Phone
- (470) 589-1742
- Fax
- (470) 588-8730
- NPI assigned
- Sep 29, 2017
- 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 | OT006812 | GA | Primary |
Addresses
Primary practice location
2140 Buford Hwy Ste 109
Buford, GA 30518-6121
Mailing address
2140 Buford Hwy Ste 109
Buford, GA 30518-6121
Phone (470) 589-1742
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 |
|---|---|---|---|
| OT006812 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Buford Kids Spot LLLP | Occupational Therapist | Current | Accepting new patients |
| Teamup Therapy LLC | Occupational Therapist | Past | Accepting new patients |
Locations
2140 Buford Hwy
Ste 109
Buford, GA 30518
Phone (404) 358-2640
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1506643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625011200000",
"number": "1124537436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2140 BUFORD HWY STE 109",
"city": "BUFORD",
"state": "GA",
"postal_code": "305186121",
"telephone_number": "470-589-1742",
"fax_number": "470-588-8730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2140 BUFORD HWY STE 109",
"city": "BUFORD",
"state": "GA",
"postal_code": "305186121",
"telephone_number": "470-589-1742",
"fax_number": "470-588-8730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CRUZ",
"first_name": "ESMERALDA",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-09-29",
"last_updated": "2021-06-30",
"certification_date": "2021-06-30",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT006812",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.