Kimberly Jackson Peters, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT000887 Issued in GA

Practice address

3483 Satellite Blvd
Suite 304
Duluth, GA 30096-8692

Phone

(770) 418-1778

NPI assigned

Nov 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Greater Atlanta Speech & Language Clinics, Inc.

  • Occupational Therapist
  • Duluth, GA
  • NPI 1326262437
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356414999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4950 HIGHLAND LAKE DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303493917",
            "telephone_number": "770-418-1778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3483 SATELLITE BLVD",
            "address_2": "SUITE 304",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300968692",
            "telephone_number": "770-418-1778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETERS",
        "first_name": "KIMBERLY",
        "middle_name": "JACKSON",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT000887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jasmin Virginia Perez Ramos
• Tania Perez
• Jodi Maria Perkins
• Alvis Tederrall Perry, M.D.
• Lashavia Person, FNP-BC
• Elisabeth Olsen Peterson, PNP
• Jordan V Peterson, PT
• Petrichor Counseling, LLC
• Teresa Marie Petros, MD
• Hannah Petty, BASW, RBT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.