Active NPI
Kimberly Thomas-Taylor
- Physical Rehabilitation Occupational Therapist
- Atlanta, GA
National Provider Identifier
1508144841
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Rehabilitation Occupational Therapist
- License
- OT003684
- Practice address
- 6600 Peachtree Dunwoody Rd NE
Building 400, Suite 125
Atlanta, GA 30328-6773 - Phone
- (678) 587-9922
- NPI assigned
- Aug 3, 2011
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Rehabilitation Occupational Therapist | 225XP0019X | OT003684 | GA | Primary |
Addresses
Primary practice location
6600 Peachtree Dunwoody Rd NE
Building 400, Suite 125
Atlanta, GA 30328-6773
Mailing address
321 Trace LN
Lawrenceville, GA 30046-2896
Phone (404) 333-2980
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 |
|---|---|---|---|
| OT003684 | GA | MD | Physical Rehabilitation Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312329600000",
"number": "1508144841",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "321 TRACE LN",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300462896",
"telephone_number": "404-333-2980"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6600 PEACHTREE DUNWOODY RD NE",
"address_2": "BUILDING 400, SUITE 125",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303286773",
"telephone_number": "678-587-9922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS-TAYLOR",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-08-03",
"last_updated": "2011-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "GA",
"license": "OT003684",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.