Dora McFadden, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT005402 Issued in GA

Practice address

1200 Lake Hearn Dr NE
Atlanta, GA 30319-1415

Phone

(404) 943-1070

Fax

(678) 802-7334

NPI assigned

Feb 24, 2012

Last updated

Feb 24, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1285908160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5058 LAUREL BRIDGE DR SE",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300824833",
            "telephone_number": "770-605-1429"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 LAKE HEARN DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303191415",
            "telephone_number": "404-943-1070",
            "fax_number": "678-802-7334"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCFADDEN",
        "first_name": "DORA",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DRIVERS LICENSE",
            "identifier": "020063824",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tania McElroy, RN
• Thelizia McElroy
• Krista McEwan, MD
• Keisha McEwen, M.D.
• Michelle Elizabeth McEwen, LCSW
• Reyna McFadden
• Terri Denise McFadden, M.D.
• Tamela McFail
• Chiatne Tahani McFarland
• Michael Lamont McFarland, N.P.

• Occupational Therapist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.