Individual provider Active NPI

Shilpa Gargwal, OTR/L

  • Pediatric Occupational Therapist
  • Cumming, GA
National Provider Identifier
1477068922
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT006902 Issued in GA
Practice address
2450 Atlanta Hwy Ste 1001
Cumming, GA 30040-1252
Phone
(404) 834-8404
Fax
(678) 807-5733
NPI assigned
Dec 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT006902 GA Primary

Addresses

Primary practice location

2450 Atlanta Hwy Ste 1001
Cumming, GA 30040-1252

Mailing address

2450 Atlanta Hwy Ste 1001
Cumming, GA 30040-1252
Phone (404) 834-8404

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
OT006902GAMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Achieve Pediatric Therapy Ga LLC 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, 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": "1512518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1477068922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY STE 1001",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401252",
            "telephone_number": "404-834-8404",
            "fax_number": "678-807-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY STE 1001",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401252",
            "telephone_number": "404-834-8404",
            "fax_number": "678-807-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARGWAL",
        "first_name": "SHILPA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-12-06",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT006902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.