Individual provider Active NPI

Maria Garcia Ruelas, OTD, OTR/L

  • Occupational Therapist
  • Suwanee, GA
National Provider Identifier
1457900755
Registry record updated Apr 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT009507 Issued in GA
Practice address
4055 Johns Creek Pkwy
Suwanee, GA 30024-1299
Phone
(770) 888-5221
NPI assigned
Sep 9, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior Technician 106S00000X
Occupational Therapist 225X00000X OT009507 GA Primary

Addresses

Primary practice location

4055 Johns Creek Pkwy
Suwanee, GA 30024-1299

Mailing address

2512 Hollow Ridge Dr
Denton, TX 76210-0365
Phone (209) 684-6716

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
OT009507GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Kids Creek Therapy Behavior Technician Past 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": "1567987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776211200000",
    "number": "1457900755",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2512 HOLLOW RIDGE DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762100365",
            "telephone_number": "209-684-6716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4055 JOHNS CREEK PKWY",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241299",
            "telephone_number": "770-888-5221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARCIA RUELAS",
        "first_name": "MARIA",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-09",
        "last_updated": "2026-04-15",
        "certification_date": "2026-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT009507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2026; 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.