Active NPI
Rochelle Cotliar, MD
- Pediatric Rehabilitation Medicine Physician
- Marietta, GA
National Provider Identifier
1215926316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rehabilitation Medicine Physician
- License
- 038454
- Practice address
- 100 Lacy St NW
Suite 150
Marietta, GA 30060-1113 - Phone
- (770) 793-7635
- Fax
- (770) 793-7645
- NPI assigned
- Oct 20, 2005
- 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 |
|---|---|---|---|---|
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | 038454 | GA | Primary |
Addresses
Primary practice location
100 Lacy St NW
Suite 150
Marietta, GA 30060-1113
Mailing address
100 Lacy St NW
Suite 150
Marietta, GA 30060-1113
Phone (770) 793-7635
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | 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.
-
- Physical Medicine & Rehabilitation Physician
- Marietta, GA
- NPI 1083907067
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1310342400000",
"number": "1215926316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 LACY ST NW",
"address_2": "SUITE 150",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601113",
"telephone_number": "770-793-7635",
"fax_number": "770-793-7645"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 LACY ST NW",
"address_2": "SUITE 150",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601113",
"telephone_number": "770-793-7635",
"fax_number": "770-793-7645"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTLIAR",
"first_name": "ROCHELLE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-20",
"last_updated": "2011-07-11",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "GA",
"license": "038454",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.