Individual provider Active NPI

Natarra Dominique Mapp, OTR/L

  • Occupational Therapist
  • McDonough, GA
National Provider Identifier
1487957379
Registry record updated Oct 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
1510 Pennsylvania Ave
McDonough, GA 30253-9112
Phone
(470) 870-8729
NPI assigned
Dec 14, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X Primary
Occupational Therapist 225X00000X 016339 NY

Addresses

Primary practice location

1510 Pennsylvania Ave
McDonough, GA 30253-9112

Mailing address

7294 Lake Run Cir
Stone Mountain, GA 30087-6363
Phone (470) 870-8729

Other practice location 1

574 Conyers Rd
Loganville, GA 30052-2761
Phone (917) 496-4631

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mapp to Success Therapy, LLC Occupational Therapist CurrentSince Mar 24, 2024 Accepting new patients

Locations

1350 Pennsylvania Ave
McDonough, GA 30253
Phone (470) 870-8729

1775 Pennsylvania Ave
McDonough, GA 30253
Phone (470) 430-4948

1510 Pennsylvania Ave
McDonough, GA 30253
Phone (470) 870-8729

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": "1292284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729555200000",
    "number": "1487957379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7294 LAKE RUN CIR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300876363",
            "telephone_number": "470-870-8729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 PENNSYLVANIA AVE",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302539112",
            "telephone_number": "470-870-8729"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "574 Conyers Rd",
            "address_purpose": "LOCATION",
            "city": "Loganville",
            "state": "GA",
            "postal_code": "300522761",
            "country_code": "US",
            "telephone_number": "917-496-4631",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAPP",
        "first_name": "NATARRA",
        "middle_name": "DOMINIQUE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-14",
        "last_updated": "2024-10-22",
        "certification_date": "2024-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "016339",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2024; 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.