Individual provider Active NPI

Alisa Mari Schum, OTR/L

  • Occupational Therapist
  • Atlanta, GA
National Provider Identifier
1477012102
Registry record updated Jun 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT006669 Issued in GA
Practice address
800 Mount Vernon Hwy NE Ste 160
Atlanta, GA 30328-4294
Phone
(770) 709-5519
NPI assigned
Mar 12, 2019
Last updated
Jun 11, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT006669 GA Primary

Addresses

Primary practice location

800 Mount Vernon Hwy NE Ste 160
Atlanta, GA 30328-4294

Mailing address

77 12TH St NE Unit 1813
Atlanta, GA 30309-4080
Phone (256) 289-3358

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
OT006669GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Able Pelvic Physical Therapy LLC Multi-Specialty CurrentSince Jul 1, 2019 Accepting new patients

Locations

800 Mount Vernon Hwy NE
Ste 160
Sandy Springs, GA 30328
Phone (516) 996-3225

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1552348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560211200000",
    "number": "1477012102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 12TH ST NE UNIT 1813",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303094080",
            "telephone_number": "256-289-3358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 MOUNT VERNON HWY NE STE 160",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303284294",
            "telephone_number": "770-709-5519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHUM",
        "first_name": "ALISA",
        "middle_name": "MARI",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-03-12",
        "last_updated": "2019-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.