Rachael Cole, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA.3336 OTA Issued in SC

Practice address

1979 Lakeside Pkwy Ste 800
Tucker, GA 30084-5856

Phone

(770) 325-0569

NPI assigned

Jun 27, 2014

Last updated

Jun 27, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Rachael Travis Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1403827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1403827200000",
    "number": "1477968527",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 CARLYLE E",
            "city": "BELLEVILLE",
            "state": "IL",
            "postal_code": "622214525",
            "telephone_number": "314-422-5881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 LAKESIDE PKWY STE 800",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300845856",
            "telephone_number": "770-325-0569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLE",
        "first_name": "RACHAEL",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-06-27",
        "last_updated": "2014-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "SC",
            "license": "OTA.3336 OTA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHAEL",
            "last_name": "TRAVIS",
            "credential": "COTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Clearstone Counseling LLC
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• Bridget T Coffey, RD
• Coh Inc
• Katie T Cole, CRNA
• Sangai B Cole, MSW
• Kasey Tarryl Coleman, ALC/ APC
• Nicole Rochelle Coller, LPC
• Sarah Allison Collum, MS
• Camille Antoinett Colson, LPC, CRC

• Occupational Therapy Assistant in Tucker, GA
• Providers in Tucker, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2014; 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.