Active NPI
Shelland
- Occupational Therapist
- Alpharetta, GA
National Provider Identifier
1154330306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT001920
- Legal business name
- SHELLAND
- Practice address
- 11940 Alpharetta Hwy
Suite 150
Alpharetta, GA 30004 - Phone
- (770) 754-0085
- Fax
- (770) 754-9288
- NPI assigned
- Aug 5, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Caroline C Williams
- Title
- Clinic Manager
- Phone
- (770) 754-0085
Specialties & licenses 15
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT008171 | GA | |
| Physical Therapist | 225100000X | PT008574 | GA | |
| Occupational Therapist | 225X00000X | OT001920 | GA | Primary |
| Occupational Therapist | 225X00000X | OT001490 | GA | |
| Occupational Therapist | 225X00000X | OT003813 | GA | |
| Occupational Therapist | 225X00000X | OT003854 | GA | |
| Occupational Therapist | 225X00000X | OT003674 | GA | |
| Occupational Therapist | 225X00000X | OT004039 | GA | |
| Occupational Therapist | 225X00000X | OT004227 | GA | |
| Occupational Therapist | 225X00000X | OT004359 | GA | |
| Speech-Language Pathologist | 235Z00000X | SLP005497 | GA | |
| Speech-Language Pathologist | 235Z00000X | SLP0005925 | GA | |
| Speech-Language Pathologist | 235Z00000X | SLP003319 | GA | |
| Speech-Language Pathologist | 235Z00000X | SLP005951 | GA | |
| Speech-Language Pathologist | 235Z00000X | SLPOO6466 | GA |
Addresses
Primary practice location
11940 Alpharetta Hwy
Suite 150
Alpharetta, GA 30004
Mailing address
11940 Alpharetta Hwy
Suite 150
Alpharetta, GA 30004
Phone (770) 754-0085
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 300034160A | Medicaid | GA | |
| 300034160C | Medicaid | GA |
Other names 1
- Childrens Therapy Works
National Provider Directory
National Provider DirectoryLocations
11940 Alpharetta Hwy
Ste 150
Alpharetta, GA 30009
Phone (770) 754-0085
Practitioners & affiliated clinicians
Practitioners 17
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Speech-Language Pathologist
- Alpharetta, GA
- NPI 1255547626
-
- Occupational Therapist
- Alpharetta, GA
- NPI 1639342876
-
- Physical Therapist
- Alpharetta, GA
- NPI 1659537579
-
- Speech-Language Pathologist
- Alpharetta, GA
- NPI 1215160635
-
- Speech-Language Pathologist
- Alpharetta, GA
- NPI 1114067162
-
- Physical Therapist
- Atlanta, GA
- NPI 1497088710
-
- Occupational Therapist
- Alpharetta, GA
- NPI 1609099613
-
- Occupational Therapy Assistant
- Alpharetta, GA
- NPI 1871760306
-
- Occupational Therapist
- Alpharetta, GA
- NPI 1093864332
-
- Physical Therapist
- Alpharetta, GA
- NPI 1568746964
-
- Speech-Language Pathologist
- Alpharetta, GA
- NPI 1528205242
-
- Speech-Language Pathologist
- Alpharetta, GA
- NPI 1306926001
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154736000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1215993600000",
"number": "1154330306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11940 ALPHARETTA HWY",
"address_2": "SUITE 150",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "30004",
"telephone_number": "770-754-0085",
"fax_number": "770-754-9288"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11940 ALPHARETTA HWY",
"address_2": "SUITE 150",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "30004",
"telephone_number": "770-754-0085",
"fax_number": "770-754-9288"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHELLAND",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-05",
"last_updated": "2008-07-14",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "CAROLINE",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "CLINIC MANAGER",
"authorized_official_telephone_number": "770-754-0085"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT008171",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT008574",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT001920",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT001490",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT003813",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT003854",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT003674",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT004039",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT004227",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT004359",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP005497",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP0005925",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP003319",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLP005951",
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": "SLPOO6466",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300034160A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "300034160C",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Childrens Therapy Works",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.