Olivia Grace Merritt, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT006772 Issued in GA

Practice address

2450 Atlanta Hwy Ste 701
Cumming, GA 30040-1255

Phone

(404) 834-8404

NPI assigned

Jun 26, 2017

Last updated

Jun 4, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Olivia Grace Thacker Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1498435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1548780018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY STE 701",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401255",
            "telephone_number": "404-834-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 ATLANTA HWY STE 701",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300401255",
            "telephone_number": "404-834-8404"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6505 Shiloh Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Alpharetta",
            "state": "GA",
            "postal_code": "300051645",
            "country_code": "US",
            "telephone_number": "678-648-7644",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2450 Atlanta Hwy Ste 1001",
            "address_purpose": "LOCATION",
            "city": "Cumming",
            "state": "GA",
            "postal_code": "300401252",
            "country_code": "US",
            "telephone_number": "404-834-8404",
            "fax_number": "678-456-3437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MERRITT",
        "first_name": "OLIVIA",
        "middle_name": "GRACE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-06-26",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006772",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "OLIVIA",
            "last_name": "THACKER",
            "middle_name": "GRACE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karem Vivian Menezes, M.D.
• Megan Larsen Mentzer, FNP-C
• Rachel Menzoian
• Kori Alyssa Mepham, PT, DPT
• Jeremy Chad Merritt, LPC
• Stephanie C Merritt, DPM
• Micah Mespelt
• Robert Lewis Messer, RRT
• Metro Imaging Cumming, LLC
• Metropolitan Serenity House

• Occupational Therapist in Cumming, GA
• Providers in Cumming, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.