Active NPI
Kailey Cameron Pullen, OTR
- Occupational Therapist
- Roswell, GA
National Provider Identifier
1659803898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT006691
- Practice address
- 11660 Alpharetta Hwy
320
Roswell, GA 30076-4943 - Phone
- (770) 754-0085
- NPI assigned
- Mar 28, 2017
- Last updated
- Mar 28, 2017
- 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 | OT006691 | GA | Primary |
Addresses
Primary practice location
11660 Alpharetta Hwy
320
Roswell, GA 30076-4943
Mailing address
5455 Preserve Cir
Johns Creek, GA 30005-8907
Phone (770) 330-6302
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 |
|---|---|---|---|
| OT006691 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Let's Learn Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490659200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1490659200000",
"number": "1659803898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5455 PRESERVE CIR",
"city": "JOHNS CREEK",
"state": "GA",
"postal_code": "300058907",
"telephone_number": "770-330-6302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11660 ALPHARETTA HWY",
"address_2": "320",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764943",
"telephone_number": "770-754-0085"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PULLEN",
"first_name": "KAILEY",
"middle_name": "CAMERON",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-03-28",
"last_updated": "2017-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT006691",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.