Active NPI
Chelsea Bishop
- Pediatric Occupational Therapist
- Marietta, GA
National Provider Identifier
1457701476
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT006736
- Practice address
- 1230 Johnson Ferry PL Ste G10
Marietta, GA 30068 - Phone
- (800) 465-3203
- Fax
- (800) 692-2326
- NPI assigned
- Jun 21, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT 17821 | FL | |
| Pediatric Occupational Therapist | 225XP0200X | OT006736 | GA | Primary |
Addresses
Primary practice location
1230 Johnson Ferry PL Ste G10
Marietta, GA 30068
Mailing address
1230 Johnson Ferry PL Ste G10
Marietta, GA 30068-2045
Phone (800) 465-3203
Other practice location 1
3311 Druid Hills Reserve Dr NE
Atlanta, GA 30329-2043
Phone (813) 997-4882
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 |
|---|---|---|---|
| OT 17821 | FL | MD | Occupational Therapist |
| OT006736 | GA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1466467200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533081600000",
"number": "1457701476",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1230 JOHNSON FERRY PL STE G10",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300682045",
"telephone_number": "800-465-3203",
"fax_number": "800-692-2326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1230 JOHNSON FERRY PL STE G10",
"city": "MARIETTA",
"state": "GA",
"postal_code": "30068",
"telephone_number": "800-465-3203",
"fax_number": "800-692-2326"
}
],
"practiceLocations": [
{
"address_1": "3311 Druid Hills Reserve Dr NE",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303292043",
"country_code": "US",
"telephone_number": "813-997-4882",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BISHOP",
"first_name": "CHELSEA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-06-21",
"last_updated": "2018-08-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT 17821",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "GA",
"license": "OT006736",
"primary": true
}
],
"identifiers": [],
"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 Aug 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.