Active NPI
Naeha Patel Sur, MS, OTR/L, CLC
- Pediatric Occupational Therapist
- Kennesaw, GA
National Provider Identifier
1447680434
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT005797
- Practice address
- 1772 Mountain Oak Rd NW
Kennesaw, GA 30152-4278 - Phone
- (678) 498-0588
- NPI assigned
- Nov 12, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Lactation Consultant (Non-RN) | 174N00000X | 358932 | GA | |
| Pediatric Occupational Therapist | 225XP0200X | OT005797 | GA | Primary |
Addresses
Primary practice location
1772 Mountain Oak Rd NW
Kennesaw, GA 30152-4278
Mailing address
1772 Mountain Oak Rd NW
Kennesaw, GA 30152-4278
Phone (678) 498-0588
Other practice location 1
9880 Hickory Flat Hwy
Woodstock, GA 30188-3081
Phone (770) 687-2542
Other practice location 2
3200 Highlands Pkwy SE
Suite 150
Smyrna, GA 30082-5166
Phone (770) 433-2300
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 358932 | GA | MD | Lactation Consultant (Non-RN) |
| OT005797 | GA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Growing by Play Pediatric Therapy, LLC | Lactation Consultant, Non-RN | 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.
-
- Pediatric Occupational Therapist
- Kennesaw, GA
- NPI 1003783754
Lactation Consultant, Non-RN
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1760745600000",
"number": "1447680434",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1772 MOUNTAIN OAK RD NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301524278",
"telephone_number": "678-498-0588"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1772 MOUNTAIN OAK RD NW",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301524278",
"telephone_number": "678-498-0588"
}
],
"practiceLocations": [
{
"address_1": "9880 Hickory Flat Hwy",
"address_purpose": "LOCATION",
"city": "Woodstock",
"state": "GA",
"postal_code": "301883081",
"country_code": "US",
"telephone_number": "770-687-2542",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3200 Highlands Pkwy SE",
"address_2": "Suite 150",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "GA",
"postal_code": "300825166",
"country_code": "US",
"telephone_number": "770-433-2300",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SUR",
"first_name": "NAEHA",
"middle_name": "PATEL",
"credential": "MS, OTR/L, CLC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-12",
"last_updated": "2025-10-18",
"certification_date": "2025-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "174N00000X",
"taxonomy_group": "",
"desc": "Lactation Consultant, Non-RN",
"state": "GA",
"license": "358932",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "GA",
"license": "OT005797",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.