Individual provider Active NPI

Kathryn Parker, MS-OTR/L

  • Occupational Therapist
  • Buford, GA
National Provider Identifier
1548841190
Registry record updated Aug 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT007957 Issued in GA
Practice address
4530 Nelson Brogdon Blvd Ste C
Buford, GA 30518-5407
Phone
(678) 820-9606
Fax
(844) 820-9616
NPI assigned
Apr 15, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2021

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 OT007957 GA Primary

Addresses

Primary practice location

4530 Nelson Brogdon Blvd Ste C
Buford, GA 30518-5407

Mailing address

3765 Cedar Creek Rd
Gainesville, GA 30507-8060
Phone (404) 435-3839

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL therapy@motormouththerapy.com Direct

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

LicenseStateTypeSpecialty
OT007957GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Motor Mouth Therapy, LLC Occupational Therapist CurrentSince Apr 24, 2022 Accepting new patients

Locations

4530 Nelson Brogdon Blvd
Ste C
Buford, GA 30518
Phone (678) 820-9606

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": "1618444800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630368000000",
    "number": "1548841190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3765 CEDAR CREEK RD",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305078060",
            "telephone_number": "404-435-3839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4530 NELSON BROGDON BLVD STE C",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185407",
            "telephone_number": "678-820-9606",
            "fax_number": "844-820-9616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "KATHRYN",
        "credential": "MS-OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-15",
        "last_updated": "2021-08-31",
        "certification_date": "2021-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007957",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "therapy@motormouththerapy.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA Compliant Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "4530 Nelson Brogdon Blvd Ste C",
            "city": "Buford",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305185407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2021; 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.