Individual provider Active NPI

Julie Atamansky, OTR/L

  • Occupational Therapist
  • Indian Trail, NC
National Provider Identifier
1275996506
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10126 Issued in NC
Practice address
1004 Rosewater LN
Indian Trail, NC 28079-3712
Phone
(704) 283-0028
NPI assigned
Apr 4, 2016
Last updated
Nov 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 10126 NC Primary

Addresses

Primary practice location

1004 Rosewater LN
Indian Trail, NC 28079-3712

Mailing address

7524 Quail Wood Dr Apt G
Charlotte, NC 28226-7183
Phone (413) 485-8027

Other practice location 1

129 Hampton St
Rock Hill, SC 29730-4509
Phone (803) 980-4900

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

LicenseStateTypeSpecialty
10126NCMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Pediatric Therapy Past Accepting new patients
Carolina Pediatric Therapy Occupational Therapist Past Accepting new patients
Full Circle Pediatric Therapy Occupational Therapist PastSince Nov 22, 2020 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1459728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1275996506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7524 QUAIL WOOD DR APT G",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282267183",
            "telephone_number": "413-485-8027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1004 ROSEWATER LN",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280793712",
            "telephone_number": "704-283-0028"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 Hampton St",
            "address_purpose": "LOCATION",
            "city": "Rock Hill",
            "state": "SC",
            "postal_code": "297304509",
            "country_code": "US",
            "telephone_number": "803-980-4900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ATAMANSKY",
        "first_name": "JULIE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-04",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "10126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indian Trail, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 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.

Verify at the official NPI Registry.