Active NPI
Alpa A Panchal, OT
- Occupational Therapist
- McDonough, GA
National Provider Identifier
1144487117
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT002151
- Practice address
- 166 Glen Eagle Way
McDonough, GA 30253-4227 - Phone
- (404) 717-6690
- NPI assigned
- May 19, 2008
- Last updated
- Oct 21, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | OT002151 | GA | Primary |
Addresses
Primary practice location
166 Glen Eagle Way
McDonough, GA 30253-4227
Mailing address
166 Glen Eagle Way
McDonough, GA 30253-4227
Phone (404) 717-6690
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 |
|---|---|---|---|
| OT002151 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Plus Medical Staffing LLC | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
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": [],
"endpoints": [],
"other_names": []
}Other providers in McDonough, GA
Sources for this page
- 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.