Active NPI
Rose Denaut
- Occupational Therapist
- Conyers, GA
National Provider Identifier
1396661757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT009855
- Practice address
- 1603 Georgia Highway 20 NE Ste 201
Conyers, GA 30012-3946 - Phone
- (770) 929-8411
- NPI assigned
- Jun 29, 2026
- Last updated
- Jun 29, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225X00000X | OT009855 | GA | Primary |
Addresses
Primary practice location
1603 Georgia Highway 20 NE Ste 201
Conyers, GA 30012-3946
Mailing address
5950 Batson CT Apt B
Atlanta, GA 30349-7143
Phone (561) 526-5864
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1782691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782691200000",
"number": "1396661757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5950 BATSON CT APT B",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303497143",
"telephone_number": "561-526-5864"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1603 GEORGIA HIGHWAY 20 NE STE 201",
"city": "CONYERS",
"state": "GA",
"postal_code": "300123946",
"telephone_number": "770-929-8411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DENAUT",
"first_name": "ROSE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-29",
"last_updated": "2026-06-29",
"certification_date": "2026-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT009855",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conyers, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.