Individual provider Active NPI

Lauren Jordan Thiede, OT

  • Pediatric Occupational Therapist
  • Sandy Springs, GA
National Provider Identifier
1164340956
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT009906 Issued in GA
Practice address
5885 Glenridge Dr Ste 110
Sandy Springs, GA 30328-5572
Phone
(404) 247-7959
Fax
(404) 393-2447
NPI assigned
Jul 8, 2026
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT009906 GA Primary

Addresses

Primary practice location

5885 Glenridge Dr Ste 110
Sandy Springs, GA 30328-5572

Mailing address

6025 Whitehall Run
Suwanee, GA 30024-3423
Phone (770) 402-4406

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

NPI Registry JSON

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

{
    "created_epoch": "1783468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1164340956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6025 WHITEHALL RUN",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300243423",
            "telephone_number": "770-402-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5885 GLENRIDGE DR STE 110",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303285572",
            "telephone_number": "404-247-7959",
            "fax_number": "404-393-2447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEDE",
        "first_name": "LAUREN",
        "middle_name": "JORDAN",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-07-08",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT009906",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sandy Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2026; 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.