Elite Driver Rehab LLC

Primary specialty

Driving and Community Mobility Occupational TherapistTaxonomy code 225XR0403X

Legal business name

ELITE DRIVER REHAB LLC

Practice address

3521 Ivy Crest Way
Buford, GA 30519-4475

Phone

(678) 205-7313

NPI assigned

Oct 26, 2022

Last updated

Dec 7, 2023By 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

Dustin Abram, OTR/LNPI 1306428743

Title

Owner

Phone

(678) 201-0295

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 6

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.

• Dustin Abram, OTR/L, CDRS, CAPS

  • Driving and Community Mobility Occupational Therapist
  • Buford, GA
  • NPI 1306428743
  Medicare reassignment NPD Authorized official
• Julianna Abram, OTR/L, ECHM

  • Pediatric Occupational Therapist
  • Dawsonville, GA
  • NPI 1558943993
  NPD
• Kaylee Jones

  • Pediatric Physical Therapist
  • Dawsonville, GA
  • NPI 1003781964

  Pediatrics

  NPD
• Kelly Kolman, OTR/L

  • Pediatric Occupational Therapist
  • Dawsonville, GA
  • NPI 1841025772
  NPD
• Danielle Perales, COTA/L

  • Occupational Therapy Assistant
  • Ellijay, GA
  • NPI 1184331597
  NPD
• Keila Pitman

  • Speech-Language Pathologist
  • Dawsonville, GA
  • NPI 1689549982
  NPD

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

{
    "created_epoch": "1666742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1701907200000",
    "number": "1518684802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3521 IVY CREST WAY",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194475",
            "telephone_number": "678-201-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 IVY CREST WAY",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194475",
            "telephone_number": "678-205-7313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELITE DRIVER REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-26",
        "last_updated": "2023-12-07",
        "certification_date": "2023-12-07",
        "status": "A",
        "authorized_official_last_name": "ABRAM",
        "authorized_official_first_name": "DUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-201-0295",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XR0403X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Driving and Community Mobility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ryan James Edwards, D.M.D.
• Nichol Eilts
• Walter Elate
• Hind Hamid Elhag, DMD
• Erlange Elisme Anaxe
• Elite Fleet Transportation LLC
• Elite Home Care Services
• Paula K Elliott, D.C.
• Lisa Berry Ellis, LCSW
• Mary Linda Ellis, L.P.C.

• Occupational Therapist in Buford, GA
• Providers in Buford, 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 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.