Active NPI
Alan O Harding, OTR/L
- Occupational Therapist
- Suwanee, GA
National Provider Identifier
1639668593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT007020
- Practice address
- 3905 Johns Creek CT Ste 250
Suwanee, GA 30024-1226 - Phone
- (770) 888-5221
- NPI assigned
- May 7, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 12251 | NC | |
| Occupational Therapist | 225X00000X | OT007020 | GA | Primary |
Addresses
Primary practice location
3905 Johns Creek CT Ste 250
Suwanee, GA 30024-1226
Mailing address
3905 Johns Creek CT Ste 250
Suwanee, GA 30024-1226
Phone (770) 888-5221
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 |
|---|---|---|---|
| 12251 | NC | MD | Massage Therapist |
| OT007020 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Creek Therapy | Occupational Therapist | Past | Accepting new patients |
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": "1525651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1547424000000",
"number": "1639668593",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3905 JOHNS CREEK CT STE 250",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300241226",
"telephone_number": "770-888-5221"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3905 JOHNS CREEK CT STE 250",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300241226",
"telephone_number": "770-888-5221"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARDING",
"first_name": "ALAN",
"middle_name": "O",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-05-07",
"last_updated": "2019-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NC",
"license": "12251",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT007020",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Jan 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.