Organization Active NPI

The Hand and Upper Extremity Rehabilitation Center

  • Hand Occupational Therapist
  • Alpharetta, GA
National Provider Identifier
1467630384
Registry record updated Feb 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
0700009309 Issued in GA
Legal business name
THE HAND AND UPPER EXTREMITY REHABILITATION CENTER
Practice address
3400 Old Milton Pkwy # a
Ste 350
Alpharetta, GA 30005-3707
Phone
(404) 693-9098
Fax
(404) 693-9070
NPI assigned
Feb 1, 2008
Last updated
Feb 1, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
THE HAND AND UPPER EXTREMITY REHABILITATION CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 1, 2008

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

Authorized official

Name
Mrs. Melissa Clark, OTR/L, CHT
Title
Clinic Manager
Phone
(404) 255-1242

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X 0700009309 GA Primary

Addresses

Primary practice location

3400 Old Milton Pkwy # a
Ste 350
Alpharetta, GA 30005-3707

Mailing address

980 Johnson Ferry Rd NE
Ste 1000
Atlanta, GA 30342-1626
Phone (404) 255-1242

Other identifiers 1

IdentifierTypeStateIssuer
GRP7700OtherGAGROUP #

National Provider Directory

National Provider Directory
Part of
The Hand Upper Extremity Rehabilitation Center of Georgia LLC

Locations

3400 Old Milton Pkwy
Ste A350
Alpharetta, GA 30005
Phone (404) 693-9098

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1467630384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "980 JOHNSON FERRY RD NE",
            "address_2": "STE 1000",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421626",
            "telephone_number": "404-255-1242",
            "fax_number": "404-256-4669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 OLD MILTON PKWY # A",
            "address_2": "STE 350",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300053707",
            "telephone_number": "404-693-9098",
            "fax_number": "404-693-9070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HAND AND UPPER EXTREMITY REHABILITATION CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE HAND AND UPPER EXTREMITY REHABILITATION CENTER",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CLINIC MANAGER",
        "authorized_official_telephone_number": "404-255-1242",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L, CHT"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "GA",
            "license": "0700009309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP #",
            "identifier": "GRP7700",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; 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.