Active NPI
Mary Gower
- Low Vision Occupational Therapist
- Atlanta, GA
National Provider Identifier
1417354259
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Low Vision Occupational Therapist
- License
- OT006081
- Practice address
- 739 West Peachtree Street NW
Atlanta, GA 30308-1137 - Phone
- (404) 602-4318
- Fax
- (404) 607-0062
- NPI assigned
- Nov 21, 2014
- Last updated
- Nov 21, 2014
- 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 |
|---|---|---|---|---|
| Low Vision Occupational Therapist | 225XL0004X | OT006081 | GA | Primary |
Addresses
Primary practice location
739 West Peachtree Street NW
Atlanta, GA 30308-1137
Mailing address
739 West Peachtree Street. NW
Atlanta, GA 30044-1137
Phone (404) 602-4318
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 58-1168874 | Other | GA | 58-1168874 |
| 1497893671 | Other | GA | MEDICARE GRP7122 |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT006081 | GA | MD | Low Vision Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1417354259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "739 WEST PEACHTREE STREET. NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "300441137",
"telephone_number": "404-602-4318",
"fax_number": "404-607-0062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "739 WEST PEACHTREE STREET NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303081137",
"telephone_number": "404-602-4318",
"fax_number": "404-607-0062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOWER",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-11-21",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225XL0004X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Low Vision",
"state": "GA",
"license": "OT006081",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "58-1168874",
"identifier": "58-1168874",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GRP7122",
"identifier": "1497893671",
"state": "GA"
}
],
"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 Nov 21, 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.