Individual provider Active NPI

Elizabeth Grace Elsey

  • Pediatric Occupational Therapist
  • Marietta, GA
National Provider Identifier
1629990304
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Practice address
1230 Johnson Ferry PL Ste G10
Marietta, GA 30068-2045
Phone
(770) 321-6705
NPI assigned
Jul 27, 2026
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X GA Primary

Addresses

Primary practice location

1230 Johnson Ferry PL Ste G10
Marietta, GA 30068-2045

Mailing address

445 N Sessions St NW Apt 1211
Marietta, GA 30060-1372
Phone (770) 871-0441

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

NPI Registry JSON

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

{
    "created_epoch": "1785110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1629990304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 N SESSIONS ST NW APT 1211",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300601372",
            "telephone_number": "770-871-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1230 JOHNSON FERRY PL STE G10",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300682045",
            "telephone_number": "770-321-6705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELSEY",
        "first_name": "ELIZABETH",
        "middle_name": "GRACE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-07-27",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.