Individual provider Active NPI

Colleen Johnson, OTR/L

  • Hand Occupational Therapist
  • Atlanta, GA
National Provider Identifier
1669201364
Registry record updated Jul 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Occupational TherapistTaxonomy code 225XH1200X
License
OT009252 Issued in GA
Practice address
2061 Peachtree Rd NE Ste 500
Atlanta, GA 30309-1446
Phone
(404) 352-3522
NPI assigned
Jul 31, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Occupational Therapist 225XH1200X OT009252 GA Primary

Addresses

Primary practice location

2061 Peachtree Rd NE Ste 500
Atlanta, GA 30309-1446

Mailing address

1888 Emery St NW Unit 638
Atlanta, GA 30318-2860
Phone (706) 510-8425

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121000297 GA Practitioner - Occupational Therapist in Private Practice 0840725370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgia Hand , Shoulder and Elbow PCGroup PAC ID 5193712982, 22 clinicians

Practice addresses (Care Compare)

2061 Peachtree Rd NE
Suite 500
Atlanta, GA 30309-1446
Phone 40435235221026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT009252GAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Georgia Hand , Shoulder & Elbow PC CurrentSince Aug 9, 2024 Accepting new patients

Locations

2061 Peachtree Rd NE
Ste 500
Atlanta, GA 30309
Phone (404) 352-3522

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/5080/brand/2/csg/22/fhir/r4

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": "1722384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722384000000",
    "number": "1669201364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1888 EMERY ST NW UNIT 638",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182860",
            "telephone_number": "706-510-8425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2061 PEACHTREE RD NE STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091446",
            "telephone_number": "404-352-3522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "COLLEEN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-07-31",
        "last_updated": "2024-07-31",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "GA",
            "license": "OT009252",
            "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 31, 2024; 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.