Active NPI
Kelli Ann Wolfman, OTR/L
- Hand Occupational Therapist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- OT001540
- Practice address
- 1819 Peachtree Rd NE
Suite 102
Atlanta, GA 30309-1848 - Phone
- (404) 355-0069
- Fax
- (404) 352-9251
- NPI assigned
- Jul 26, 2011
- 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 |
|---|---|---|---|---|
| Hand Occupational Therapist | 225XH1200X | OT001540 | GA | Primary |
Addresses
Primary practice location
1819 Peachtree Rd NE
Suite 102
Atlanta, GA 30309-1848
Mailing address
1819 Peachtree Rd NE
Suite 102
Atlanta, GA 30309-1848
Phone (404) 355-0069
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Medical College of Georgia School of Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2061 Peachtree Rd NE
Suite 500
Atlanta, GA 30309-1446
Phone 40435235221026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT001540 | GA | MD | Hand Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Georgia Hand , Shoulder & Elbow PC | Current | Accepting new patients |
Locations
2061 Peachtree Rd NE
Ste 500
Atlanta, GA 30309
Phone (404) 352-3522
1819 Peachtree Rd NE
Ste 425
Atlanta, GA 30309
Phone (404) 352-3522
1819 Peachtree Rd NE
Ste 102
Atlanta, GA 30309
Phone (404) 352-3522
790 Church St NE
Ste 500
Marietta, GA 30060
Phone (678) 686-5859
Interoperability endpoints
- https://api.platform.athenahealth.com/5080/brand/2/csg/22/fhir/r4
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.
-
- Orthopaedic Hand Surgery Physician
- Atlanta, GA
- NPI 1669406591
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1319587200000",
"number": "1336427327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1819 PEACHTREE RD NE",
"address_2": "SUITE 102",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091848",
"telephone_number": "404-355-0069",
"fax_number": "404-352-9251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1819 PEACHTREE RD NE",
"address_2": "SUITE 102",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303091848",
"telephone_number": "404-355-0069",
"fax_number": "404-352-9251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WOLFMAN",
"first_name": "KELLI",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-26",
"last_updated": "2011-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "GA",
"license": "OT001540",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.