Organization Active NPI

East Cobb Hand Therapy LLC

  • Hand Occupational Therapist
  • Marietta, GA
National Provider Identifier
1407986169
Registry record updated Sep 12, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
000542 Issued in GA
Legal business name
EAST COBB HAND THERAPY LLC
Practice address
3901 Roswell Rd
Suite 100B
Marietta, GA 30062-6284
Phone
(770) 578-4334
Fax
(770) 578-4335
NPI assigned
Mar 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 12, 2011

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

Authorized official

Name
Mrs. Margaret P Krengel, OTR CHTNPI 1073563771
Title
Owner
Phone
(770) 578-4334

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XH1200X 000542 GA Primary

Addresses

Primary practice location

3901 Roswell Rd
Suite 100B
Marietta, GA 30062-6284

Mailing address

3901 Roswell Rd
Suite 100B
Marietta, GA 30062-6284
Phone (770) 578-4334

Other identifiers 4

IdentifierTypeStateIssuer
990037399AMedicaidGA
GRP6544OtherGAMEDICARE GROUP #
1073563771OtherGAINDIVIDUAL NPI #
1407986169OtherGAGROUP NPI

National Provider Directory

National Provider Directory

Locations

3901 Roswell Rd
Ste 100B
Marietta, GA 30062
Phone (770) 578-4334

3939 Roswell Rd
Ste 160
Marietta, GA 30062
Phone (770) 971-5244

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1315785600000",
    "number": "1407986169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3901 ROSWELL RD",
            "address_2": "SUITE 100B",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626284",
            "telephone_number": "770-578-4334",
            "fax_number": "770-578-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 ROSWELL RD",
            "address_2": "SUITE 100B",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300626284",
            "telephone_number": "770-578-4334",
            "fax_number": "770-578-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COBB HAND THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-06",
        "last_updated": "2011-09-12",
        "status": "A",
        "authorized_official_last_name": "KRENGEL",
        "authorized_official_first_name": "MARGARET",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-578-4334",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR CHT"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": "GA",
            "license": "000542",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "990037399A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "GRP6544",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "1073563771",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1407986169",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2011; 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.