Individual provider Active NPI

Janistres L Teemer, OTD, OTR/L

  • Occupational Therapist
  • Kennesaw, GA
National Provider Identifier
1669041083
Registry record updated Jun 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT004782 Issued in GA
Practice address
4881 Gresham Ridge Dr NE
Kennesaw, GA 30144-5331
Phone
(336) 456-0667
NPI assigned
Jun 21, 2021
Last updated
Jun 21, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2021

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 OT004782 GA Primary

Addresses

Primary practice location

4881 Gresham Ridge Dr NE
Kennesaw, GA 30144-5331

Mailing address

127 Cedarmont Way
Dallas, GA 30132-0549

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210630002288 GA Practitioner - Occupational Therapist in Private Practice 0547661308 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2004
Medicare assignment
May accept Medicare assignment
Group practices
Transperfect Health CorpGroup PAC ID 3173982287, 33 clinicians

Practice addresses (Care Compare)

1170 Peachtree St NE
Suite 1600
Atlanta, GA 30309-7674
Phone (570) 854-1632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT004782GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Home Therapy Solutions, LLC Occupational Therapist CurrentSince Jun 1, 2021 Accepting new patients
Transperfect Health Corp Occupational Therapist CurrentSince Aug 13, 2025 Accepting new patients

Locations

1170 Peachtree St NE
Ste 1600
Atlanta, GA 30309
Phone (570) 854-1632

1250 Broadway
Fl 32
New York, NY 10001
Phone (212) 290-6447

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/26320/brand/1/csg/1/fhir/r4

Organizations & group practices 2

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": "1624233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624233600000",
    "number": "1669041083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "127 CEDARMONT WAY",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301320549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4881 GRESHAM RIDGE DR NE",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445331",
            "telephone_number": "336-456-0667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TEEMER",
        "first_name": "JANISTRES",
        "middle_name": "L",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-21",
        "last_updated": "2021-06-21",
        "certification_date": "2021-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2021; 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.