Individual provider Active NPI

Sarah Shirley Pullani, OTR

  • Occupational Therapist
  • Marietta, GA
National Provider Identifier
1528284999
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
003640 Issued in GA
Practice address
3193 Holly Mill Run
Marietta, GA 30062-5480
Phone
(770) 653-3077
Fax
(770) 509-1321
NPI assigned
Apr 17, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 003640 GA Primary

Addresses

Primary practice location

3193 Holly Mill Run
Marietta, GA 30062-5480

Mailing address

3193 Holly Mill Run
Marietta, GA 30062-5480
Phone (770) 653-3077

Other names 1

  • Sarah Shirley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240603002893 GA Practitioner - Occupational Therapist in Private Practice 5991247272 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Center for the Visually ImpairedGroup PAC ID 8527009034, 9 clinicians

Practice addresses (Care Compare)

739 W Peachtree St NW
Atlanta, GA 30308-1137
Phone (404) 875-9011

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003640GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Center for the Visually Impaired CurrentSince Apr 17, 2024 Accepting new patients
Karen S. White Occupational Therapist Past Accepting new patients
Karen S. White Occupational Therapist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1528284999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3193 HOLLY MILL RUN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625480",
            "telephone_number": "770-653-3077",
            "fax_number": "770-509-1321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3193 HOLLY MILL RUN",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625480",
            "telephone_number": "770-653-3077",
            "fax_number": "770-509-1321"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PULLANI",
        "first_name": "SARAH",
        "middle_name": "SHIRLEY",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-17",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "003640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SARAH",
            "last_name": "SHIRLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.