Individual provider Active NPI

Cynthia Mandell Lourie, OTR

  • Occupational Therapist
  • Atlanta, GA
National Provider Identifier
1659598340
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT001542 Issued in GA
Practice address
1821 Clifton Rd.
Wesley Woods Geriatric Hospital
Atlanta, GA 30329
Phone
(404) 728-4585
Fax
(404) 728-4931
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT001542 GA Primary

Addresses

Primary practice location

1821 Clifton Rd.
Wesley Woods Geriatric Hospital
Atlanta, GA 30329

Mailing address

1717 N Pelham Rd NE
Atlanta, GA 30324-5260
Phone (404) 881-8149

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230824002303 GA Practitioner - Occupational Therapist in Private Practice 4880057751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synapse Neurorehab and Wellness LLCGroup PAC ID 1355742917, 13 clinicians

Practice addresses (Care Compare)

6667 Vernon Woods Dr
Suite A14
Sandy Springs, GA 30328-3236
Phone (404) 425-9494

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Synapse Neurorehab and Wellness LLC Occupational Therapist CurrentSince Aug 11, 2023 Accepting new patients

Locations

6667 Vernon Woods Dr
Ste A14
Sandy Springs, GA 30328
Phone (404) 425-9494

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659598340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 N PELHAM RD NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303245260",
            "telephone_number": "404-881-8149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 CLIFTON RD.",
            "address_2": "WESLEY WOODS GERIATRIC HOSPITAL",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30329",
            "telephone_number": "404-728-4585",
            "fax_number": "404-728-4931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOURIE",
        "first_name": "CYNTHIA",
        "middle_name": "MANDELL",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT001542",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.