Active NPI
Katherine Rebecca Gilliam, MOT, OTR/L
- Occupational Therapist
- Woodstock, GA
National Provider Identifier
1275322133
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT009519
- Practice address
- 1198 Buckhead Xing Ste a
Woodstock, GA 30189-4293 - Phone
- (678) 895-5223
- NPI assigned
- May 6, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT009519 | GA | Primary |
Addresses
Primary practice location
1198 Buckhead Xing Ste a
Woodstock, GA 30189-4293
Mailing address
6555 Namon Creek TRL
Cumming, GA 30028-5667
Phone (678) 995-9604
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT009519 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wonder Therapeutic Services LLC | Occupational Therapist | Past | Accepting new patients |
| Pediatric Therapy of Townelake, LLC | Occupational Therapist | Past | 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.
-
- Occupational Therapist
- Woodstock, GA
- NPI 1093486375
-
- Occupational Therapist
- Flowery Branch, GA
- NPI 1356067219
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1746489600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746489600000",
"number": "1275322133",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6555 NAMON CREEK TRL",
"city": "CUMMING",
"state": "GA",
"postal_code": "300285667",
"telephone_number": "678-995-9604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1198 BUCKHEAD XING STE A",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301894293",
"telephone_number": "678-895-5223"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILLIAM",
"first_name": "KATHERINE",
"middle_name": "REBECCA",
"credential": "MOT, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-05-06",
"last_updated": "2025-05-06",
"certification_date": "2025-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT009519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.