Active NPI
Jill B Ronske
- Occupational Therapist
- Suwanee, GA
National Provider Identifier
1174685754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT003513
- Practice address
- 3905 Johns Creek CT
Suite 250
Suwanee, GA 30024-1224 - Phone
- (770) 888-5221
- Fax
- (678) 680-5929
- NPI assigned
- Dec 14, 2006
- 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 | OT003513 | GA | Primary |
Addresses
Primary practice location
3905 Johns Creek CT
Suite 250
Suwanee, GA 30024-1224
Mailing address
3015 Highland Pass
Alpharetta, GA 30004-8472
Phone (678) 297-9063
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00936658A | Medicaid | GA |
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 |
|---|---|---|---|
| OT003513 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Creek Therapy | 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1166054400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1440028800000",
"number": "1174685754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3015 HIGHLAND PASS",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300048472",
"telephone_number": "678-297-9063"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 JOHNS CREEK CT",
"address_2": "SUITE 250",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300241224",
"telephone_number": "770-888-5221",
"fax_number": "678-680-5929"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONSKE",
"first_name": "JILL",
"middle_name": "B",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-14",
"last_updated": "2015-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT003513",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00936658A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.