Individual provider Active NPI

Dreamella N Furgerson, OTR/L

  • Occupational Therapist
  • Atlanta, GA
National Provider Identifier
1417289752
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT004668 Issued in GA
Practice address
6849 Peachtree Dunwoody Rd NE
Suite 102 , Building B-1
Atlanta, GA 30328-1610
Phone
(866) 587-9922
NPI assigned
Feb 11, 2010
Reactivated
Jul 14, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

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 OT004668 GA Primary

Addresses

Primary practice location

6849 Peachtree Dunwoody Rd NE
Suite 102 , Building B-1
Atlanta, GA 30328-1610

Mailing address

6849 Peachtree Dunwoody Rd NE
Suite 102 , Building B-1
Atlanta, GA 30328-1610
Phone (866) 587-9922

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
OT004668GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Benevolent Home and Health LLC Current Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1265846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1417289752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6849 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 102 , BUILDING B-1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303281610",
            "telephone_number": "866-587-9922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6849 PEACHTREE DUNWOODY RD NE",
            "address_2": "SUITE 102 , BUILDING B-1",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303281610",
            "telephone_number": "866-587-9922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FURGERSON",
        "first_name": "DREAMELLA",
        "middle_name": "N",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-11",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "deactivation_date": "2020-06-29",
        "reactivation_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004668",
            "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 Jul 14, 2020; 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.