Alpa A Panchal, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT002151 Issued in GA

Practice address

166 Glen Eagle Way
McDonough, GA 30253-4227

Phone

(404) 717-6690

NPI assigned

May 19, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• A Plus Medical Staffing LLC

  • Occupational Therapist
  • McDonough, GA
  • NPI 1619204278
  NPD (past) Authorized official

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

{
    "created_epoch": "1211155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256083200000",
    "number": "1144487117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 GLEN EAGLE WAY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534227",
            "telephone_number": "404-717-6690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 GLEN EAGLE WAY",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302534227",
            "telephone_number": "404-717-6690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANCHAL",
        "first_name": "ALPA",
        "middle_name": "A",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-19",
        "last_updated": "2009-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT002151",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVER LICENSE",
            "identifier": "055681985",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonnae L Page
• Pain Free You LLC
• Palmetto Family Dental of McDonough, PC
• Palmetto Sleep PC
• Palrine Home Care, LLC
• Maria Concepcion Atienza Panganiban
• Blondie Parker
• Lisa K Parker, LCSW
• Sean Parker, SA-C
• Ceisha Shador Parks

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2009; 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.