Robin T Underwood, PHD, OT/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

GA000037 Issued in GA

Practice address

2335 Briarleigh Way
Dunwoody, GA 30338-7005

Phone

(404) 245-9958

NPI assigned

Sep 26, 2020

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 identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Philosophy

State licenses

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

{
    "created_epoch": "1601078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601078400000",
    "number": "1497362107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2335 BRIARLEIGH WAY",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303387005",
            "telephone_number": "404-245-9958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2335 BRIARLEIGH WAY",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303387005",
            "telephone_number": "404-245-9958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UNDERWOOD",
        "first_name": "ROBIN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "PHD, OT/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-26",
        "last_updated": "2020-09-26",
        "certification_date": "2020-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "GA000037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF OCCUPATIONAL THERAPY",
            "identifier": "GA000037",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "meaningfulandproductiveliving.com",
            "affiliation": "N",
            "endpointDescription": "Homepage",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Dunwoody",
            "address_1": "2335 Briarleigh Way",
            "city": "Dunwoody",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303387005",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Occupational Therapist in Dunwoody, GA
• Providers in Dunwoody, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2020; 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.