Organization Active NPI

Balanced Body and Mind OT, LLC

  • Occupational Therapist
  • Atlanta, GA
National Provider Identifier
1215638259
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
BALANCED BODY AND MIND OT, LLC
Practice address
1101 Juniper St NE Apt 709
Atlanta, GA 30309-7659
Phone
(470) 645-1477
NPI assigned
Mar 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Authorized official

Name
Andrea Arlene Trentham, MS, OTR/LNPI 1780172189
Title
Occupational Therapist
Phone
(470) 645-1477

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary

Addresses

Primary practice location

1101 Juniper St NE Apt 709
Atlanta, GA 30309-7659

Mailing address

1101 Juniper St NE Apt 709
Atlanta, GA 30309-7659
Phone (470) 645-1477

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1678924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678924800000",
    "number": "1215638259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1101 JUNIPER ST NE APT 709",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303097659",
            "telephone_number": "470-645-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 JUNIPER ST NE APT 709",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303097659",
            "telephone_number": "470-645-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED BODY AND MIND OT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-16",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A",
        "authorized_official_last_name": "TRENTHAM",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "ARLENE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "470-645-1477",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; 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.