Katti Wong, MOT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

004852 Issued in GA

Practice address

11785 Northfall LN Ste 502
Alpharetta, GA 30009-7961

Phone

(678) 520-6879

NPI assigned

Jun 6, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Kool Kidz Inc

  • Pediatric Physical Therapist
  • Marietta, GA
  • NPI 1134386337

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1244246400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631750400000",
    "number": "1194951970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11785 NORTHFALL LN STE 502",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097961",
            "telephone_number": "678-520-6879",
            "fax_number": "770-569-7432"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11785 NORTHFALL LN STE 502",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300097961",
            "telephone_number": "678-520-6879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2465 Canopy Gln",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300661541",
            "country_code": "US",
            "telephone_number": "770-517-2480",
            "fax_number": "770-592-9431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WONG",
        "first_name": "KATTI",
        "credential": "MOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-06-06",
        "last_updated": "2021-09-16",
        "certification_date": "2021-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "004852",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "004852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY LICENSE",
            "identifier": "004852",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Steven Greg Woltin, D.C.
• Women'S Healthcare Associates of Athens, LLC
• Women'S Imaging Specialists - Mobile, LLC
• Wonderland Behavioral & Mental Health, LLC
• Wonderway ABA Services LLC
• Pui Yee Wong
• Diane Wood
• Whitney Elizabeth Woodcox, PSYD
• Enis Quardell Woods, DPT
• Robert Dewayne Woods, D.D.S.

• Pediatric Occupational Therapist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2021; 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.