Teresa Iatridis, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

005912 Issued in GA

Practice address

3950 Cobb Pkwy NW Ste 801
Acworth, GA 30101-9524

Phone

(770) 917-5737

NPI assigned

Jul 10, 2014

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

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Foundation Therapy Center - North Atlanta, LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1962460451
  Medicare reassignment NPD
• Foundation Therapy Center-Alpharetta, LLC

  • Physical Therapist
  • Roswell, GA
  • NPI 1447283635
  NPD (past)
• Play Wellness Collective

  • Occupational Therapist
  • Atlanta, GA
  • NPI 1992390991
  NPD (past)

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

{
    "created_epoch": "1404950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404950400000",
    "number": "1376959387",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 GLEN CEDARS DR",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301267607",
            "telephone_number": "404-353-0134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3950 COBB PKWY NW STE 801",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301019524",
            "telephone_number": "770-917-5737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IATRIDIS",
        "first_name": "TERESA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-10",
        "last_updated": "2014-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "005912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Scott Cameron Hudson, D.D.S.
• Rebekah Huffman, LCSW
• Susan C Hughes
• Adefunke Hughey, PHARMD
• Aubrey Nicole Huguenard
• Esohe Grace Idusuyi, NURSE PRACTITIONER
• Courtney C Ijeoma, RPH
• Independent Physical Therapy of Georgia, LLC
• Independent Physical Therapy of Georgia, LLC
• Ingles Markets Inc

• Occupational Therapist in Acworth, GA
• Providers in Acworth, 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 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.