Individual provider Active NPI

Whitney Telfare, OTR/L

  • Occupational Therapist
  • Decatur, GA
National Provider Identifier
1396145678
Registry record updated Aug 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT005369 Issued in GA
Practice address
4535 Flat Shoals Pkwy
Suite 301
Decatur, GA 30034-5039
Phone
(404) 244-9477
NPI assigned
Aug 24, 2014
Last updated
Aug 24, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT005369 GA Primary

Addresses

Primary practice location

4535 Flat Shoals Pkwy
Suite 301
Decatur, GA 30034-5039

Mailing address

1874 Wilson Wynd Way
Lawrenceville, GA 30043-6059

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

LicenseStateTypeSpecialty
OT005369GAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1408838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1408838400000",
    "number": "1396145678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1874 WILSON WYND WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436059"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4535 FLAT SHOALS PKWY",
            "address_2": "SUITE 301",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300345039",
            "telephone_number": "404-244-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TELFARE",
        "first_name": "WHITNEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-24",
        "last_updated": "2014-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005369",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2014; 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.