Active NPI
Andrea Harry, OTR/L
- Occupational Therapist
- Sandy Springs, GA
National Provider Identifier
1609509249
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT008503
- Practice address
- 6050 Roswell Rd Apt 203
Sandy Springs, GA 30328-4073 - Phone
- (717) 386-0671
- NPI assigned
- Jul 1, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT008503 | GA | Primary |
Addresses
Primary practice location
6050 Roswell Rd Apt 203
Sandy Springs, GA 30328-4073
Mailing address
6050 Roswell Rd Apt 203
Sandy Springs, GA 30328-4073
Phone (717) 386-0671
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 151027 | Medicaid | GA |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | Fusion | 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
| License | State | Type | Specialty |
|---|---|---|---|
| OT008503 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656633600000",
"number": "1609509249",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6050 ROSWELL RD APT 203",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303284073",
"telephone_number": "717-386-0671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6050 ROSWELL RD APT 203",
"city": "SANDY SPRINGS",
"state": "GA",
"postal_code": "303284073",
"telephone_number": "717-386-0671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARRY",
"first_name": "ANDREA",
"name_prefix": "Ms.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-01",
"last_updated": "2022-07-01",
"certification_date": "2022-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT008503",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "151027",
"state": "GA"
}
],
"endpoints": [
{
"endpointType": "SOAP",
"endpointTypeDescription": "SOAP URL",
"endpoint": "Fusion",
"affiliation": "N",
"endpointDescription": "EHR",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "6050 Roswell Rd Apt 203",
"city": "Sandy Springs",
"state": "GA",
"country_code": "US",
"postal_code": "303284073",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Sandy Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.