Calista Gaetana Tomasetti, MS

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT009313

Practice address

4875 Hog Mountain Rd Ste Ab
Flowery Branch, GA 30542-3476

Phone

(678) 960-3063

NPI assigned

Sep 17, 2024

Last updated

Sep 17, 2024By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1726531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726531200000",
    "number": "1376370973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 HIGH ST",
            "city": "SAYVILLE",
            "state": "NY",
            "postal_code": "117821333",
            "telephone_number": "631-379-9320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4875 HOG MOUNTAIN RD STE AB",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "305423476",
            "telephone_number": "678-960-3063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMASETTI",
        "first_name": "CALISTA",
        "middle_name": "GAETANA",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-17",
        "last_updated": "2024-09-17",
        "certification_date": "2024-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": "OT009313",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Occupational Therapist in Flowery Branch, GA
• Providers in Flowery Branch, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; 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.