Individual provider Active NPI

Danielle Perales, COTA/L

  • Occupational Therapy Assistant
  • Ellijay, GA
National Provider Identifier
1184331597
Registry record updated Nov 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA002357 Issued in GA
Practice address
941 Progress Rd
Ellijay, GA 30540-5599
Phone
(401) 216-9564
Fax
(678) 951-8226
NPI assigned
Nov 4, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA002357 GA Primary

Addresses

Primary practice location

941 Progress Rd
Ellijay, GA 30540-5599

Mailing address

3521 Ivy Crest Way
Buford, GA 30519-4475
Phone (401) 216-9564

Other names 1

  • Danielle Templer Former name

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

LicenseStateTypeSpecialty
OTA002357GAMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Prosper Therapy Services, LLC CurrentSince Nov 6, 2022 Accepting new patients
Elite Driver Rehab LLC CurrentSince Nov 6, 2022 Accepting new patients

Organizations & group practices 2

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": "1667520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667520000000",
    "number": "1184331597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 IVY CREST WAY",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194475",
            "telephone_number": "401-216-9564",
            "fax_number": "678-951-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "941 PROGRESS RD",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305405599",
            "telephone_number": "401-216-9564",
            "fax_number": "678-951-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALES",
        "first_name": "DANIELLE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-04",
        "last_updated": "2022-11-04",
        "certification_date": "2022-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA002357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DANIELLE",
            "last_name": "TEMPLER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Ellijay, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2022; 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.