Active NPI
Elizabeth A Thaler, OT
- Pediatric Occupational Therapist
- Marietta, GA
National Provider Identifier
1487714226
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 2323
- Practice address
- 2465 Canopy GLN
Marietta, GA 30066-1541 - Phone
- (770) 517-2480
- Fax
- (770) 592-9431
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2323 | GA | |
| Pediatric Occupational Therapist | 225XP0200X | 2323 | GA | Primary |
Addresses
Primary practice location
2465 Canopy GLN
Marietta, GA 30066-1541
Mailing address
PO Box 670207
Marietta, GA 30066-0121
Phone (770) 517-2480
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10040457 | Other | GA | AMERIGROUP |
| 2323 | Other | GA | OCCUPATIONAL THERAPY LIC |
| 318303 | Other | GA | WELLCARE |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 2323 | GA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kool Kidz Inc | Occupational Therapist | 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": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1487714226",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 670207",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300660121",
"telephone_number": "770-517-2480",
"fax_number": "770-592-9431"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2465 CANOPY GLN",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300661541",
"telephone_number": "770-517-2480",
"fax_number": "770-592-9431"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THALER",
"first_name": "ELIZABETH",
"middle_name": "A",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "2323",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "GA",
"license": "2323",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10040457",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OCCUPATIONAL THERAPY LIC",
"identifier": "2323",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "318303",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.