El' Malik Chinn, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT007474 Issued in GA

Practice address

1479 Grove Park Dr
Columbus, GA 31904-1585

Phone

(706) 530-9409

NPI assigned

Mar 1, 2018

Last updated

Oct 8, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602115200000",
    "number": "1598267098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CAEN DR",
            "city": "FORT MITCHELL",
            "state": "AL",
            "postal_code": "368563416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1479 GROVE PARK DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319041585",
            "telephone_number": "706-530-9409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 Knowles Rd",
            "address_purpose": "LOCATION",
            "city": "Phenix City",
            "state": "AL",
            "postal_code": "368697135",
            "country_code": "US",
            "telephone_number": "334-291-0485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHINN",
        "first_name": "EL' MALIK",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-01",
        "last_updated": "2020-10-08",
        "certification_date": "2020-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "4643",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007474",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeremy Daniel Childs, BT
• Virginia Taylor Childs, PT, DPT
• Grace Chin Yut, MBBS
• Linda Mae Chin, M.D.
• Vanessa Leigh Chin, DDS
• Charles Dean Chipman, MD
• Wendy Blair Chipman, FNP-BC
• Chisholm Trail Urgent Care PLLC
• Kirby Nicole Chisholm, M.D.
• Lashonda Charal Chisholm

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2020; 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.