Okot Lymphedema Therapy, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

OKOT LYMPHEDEMA THERAPY, LLC

Practice address

4720 Peachtree Industrial Blvd Ste 103
Berkeley Lake, GA 30071-5736

Phone

(470) 317-7488

Fax

(317) 436-1199

NPI assigned

Dec 20, 2022

Last updated

Dec 20, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Oksana Kuliyev, MS, OT/R, CLTNPI 1528538238

Title

Owner/Practitioner

Phone

(470) 317-7488

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Oksana Kuliyev, MS, OTR/L

  • Occupational Therapist
  • Berkeley Lake, GA
  • NPI 1528538238
  Authorized official Same address or phone

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

{
    "created_epoch": "1671494400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1671494400000",
    "number": "1497467591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4720 PEACHTREE INDUSTRIAL BLVD STE 103",
            "city": "BERKELEY LAKE",
            "state": "GA",
            "postal_code": "300715736",
            "telephone_number": "470-317-7488",
            "fax_number": "317-436-1199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4720 PEACHTREE INDUSTRIAL BLVD STE 103",
            "city": "BERKELEY LAKE",
            "state": "GA",
            "postal_code": "300715736",
            "telephone_number": "470-317-7488",
            "fax_number": "317-436-1199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKOT LYMPHEDEMA THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-20",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-19",
        "status": "A",
        "authorized_official_last_name": "KULIYEV",
        "authorized_official_first_name": "OKSANA",
        "authorized_official_title_or_position": "OWNER/PRACTITIONER",
        "authorized_official_telephone_number": "470-317-7488",
        "authorized_official_credential": "MS, OT/R, CLT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Daniel William Macke, LAPC
• Marjan Malek, DDS
• Med-4-You LLC
• Kate Murphy
• Cynthia Joan Nist, MSW
• Okot Lymphedema Therapy, LLC
• Mary Ann Pearson, LPC
• Pickett Psychological Services
• Christopher M Quirindongo, M.S NCC
• Karen Reeves

• Occupational Therapist in Berkeley Lake, GA
• Providers in Berkeley Lake, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2022; 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.