Active NPI
Sarah Elizabeth Nelson, COTA
- Occupational Therapy Assistant
- Atlanta, GA
National Provider Identifier
1386071751
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA001603
- Practice address
- 3100 Northside Pkwy NW
Atlanta, GA 30327-1563 - Phone
- (404) 238-9200
- NPI assigned
- Oct 1, 2013
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA001603 | GA | Primary |
Addresses
Primary practice location
3100 Northside Pkwy NW
Atlanta, GA 30327-1563
Mailing address
3154 Granby Ave
Scottdale, GA 30079-1511
Phone (770) 280-7815
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTA001603 | GA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1380585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1380585600000",
"number": "1386071751",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3154 GRANBY AVE",
"city": "SCOTTDALE",
"state": "GA",
"postal_code": "300791511",
"telephone_number": "770-280-7815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 NORTHSIDE PKWY NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303271563",
"telephone_number": "404-238-9200"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NELSON",
"first_name": "SARAH",
"middle_name": "ELIZABETH",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-10-01",
"last_updated": "2013-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "GA",
"license": "OTA001603",
"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 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.