Active NPI
Jean Markley Sever, MSOTRL
- Pediatric Occupational Therapist
- Roswell, GA
National Provider Identifier
1497810295
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT002505
- Practice address
- 1000 Holcomb Woods Pkwy
Ste426
Roswell, GA 30076-2575 - Phone
- (770) 851-9553
- Fax
- (770) 698-4178
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OT002505 | GA | Primary |
Addresses
Primary practice location
1000 Holcomb Woods Pkwy
Ste426
Roswell, GA 30076-2575
Mailing address
3876 Menlo Dr
Atlanta, GA 30340-5116
Phone (770) 842-6328
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 985589 | Other | GA | BCBS |
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 |
|---|---|---|---|
| OT002505 | GA | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Childrens Therapy Center | Pediatrics | 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": "1166745600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497810295",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3876 MENLO DR",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303405116",
"telephone_number": "770-842-6328"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 HOLCOMB WOODS PKWY",
"address_2": "STE426",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300762575",
"telephone_number": "770-851-9553",
"fax_number": "770-698-4178"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEVER",
"first_name": "JEAN",
"middle_name": "MARKLEY",
"credential": "MSOTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "GA",
"license": "OT002505",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "985589",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.