Active NPI
Erin Killen, OTR/L
- Occupational Therapist
- Gainesville, GA
National Provider Identifier
1225654940
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 7683
- Practice address
- 8960 Browns Bridge Rd
Gainesville, GA 30506-4010 - Phone
- (334) 207-0582
- Fax
- (855) 232-8604
- NPI assigned
- Jun 18, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4433 | AL | |
| Occupational Therapist | 225X00000X | 7683 | GA | Primary |
Addresses
Primary practice location
8960 Browns Bridge Rd
Gainesville, GA 30506-4010
Mailing address
8960 Browns Bridge Rd
Gainesville, GA 30506-4010
Phone (334) 207-0582
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4433 | AL | MD | Occupational Therapist |
| 7683 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592438400000",
"number": "1225654940",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8960 BROWNS BRIDGE RD",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305064010",
"telephone_number": "334-207-0582",
"fax_number": "855-232-8604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8960 BROWNS BRIDGE RD",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305064010",
"telephone_number": "334-207-0582",
"fax_number": "855-232-8604"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILLEN",
"first_name": "ERIN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-06-18",
"last_updated": "2020-06-18",
"certification_date": "2020-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "4433",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "7683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.