Organization Active NPI

Nicole Patterson, LLC

  • Pediatric Occupational Therapist
  • Suwanee, GA
National Provider Identifier
1609550698
Registry record updated Jun 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
NICOLE PATTERSON, LLC
Practice address
5219 Suwanee Dam Rd
Suwanee, GA 30024-1721
Phone
(678) 577-1748
NPI assigned
Jun 12, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 12, 2023

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

Authorized official

Name
Nicole Patterson, MSOT OTR/L
Title
OT, Owner
Phone
(678) 577-1748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225XP0200X Primary

Addresses

Primary practice location

5219 Suwanee Dam Rd
Suwanee, GA 30024-1721

Mailing address

5219 Suwanee Dam Rd
Suwanee, GA 30024-1721
Phone (678) 577-1748

Other names 1

  • Nicole Patterson, LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1686528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686528000000",
    "number": "1609550698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5219 SUWANEE DAM RD",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241721",
            "telephone_number": "678-577-1748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5219 SUWANEE DAM RD",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300241721",
            "telephone_number": "678-577-1748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICOLE PATTERSON, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-12",
        "last_updated": "2023-06-12",
        "certification_date": "2023-06-12",
        "status": "A",
        "authorized_official_last_name": "PATTERSON",
        "authorized_official_first_name": "NICOLE",
        "authorized_official_title_or_position": "OT, OWNER",
        "authorized_official_telephone_number": "678-577-1748",
        "authorized_official_credential": "MSOT OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Nicole Patterson, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Suwanee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; 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.