Active NPI
Raeanne Elizabeth Gialanella, OTR
- Occupational Therapist
- Stone Mountain, GA
National Provider Identifier
1427436500
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC013889
- Practice address
- 5839 Memorial Drive
Stone Mountain, GA 30083 - Phone
- (678) 679-1800
- NPI assigned
- May 11, 2015
- Last updated
- Apr 12, 2017
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC013889 | PA | Primary |
Addresses
Primary practice location
5839 Memorial Drive
Stone Mountain, GA 30083
Mailing address
1925 Vaughn Rd
Unit 200
Kennesaw, GA 30144
Phone (770) 218-6274
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
| License | State | Type | Specialty |
|---|---|---|---|
| OC013889 | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491955200000",
"number": "1427436500",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1925 VAUGHN RD",
"address_2": "UNIT 200",
"city": "KENNESAW",
"state": "GA",
"postal_code": "30144",
"telephone_number": "770-218-6274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5839 MEMORIAL DRIVE",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "30083",
"telephone_number": "678-679-1800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GIALANELLA",
"first_name": "RAEANNE",
"middle_name": "ELIZABETH",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-11",
"last_updated": "2017-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC013889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.