Active NPI
Christopher Spleen Sr., COTA
- Occupational Therapy Assistant
- Stone Mountain, GA
National Provider Identifier
1699586875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA000714
- Practice address
- 5610 Bermuda Rd SW
Stone Mountain, GA 30087 - Phone
- (678) 684-3800
- NPI assigned
- Jan 16, 2025
- Last updated
- Jan 16, 2025
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OTA000714 | GA | Primary |
Addresses
Primary practice location
5610 Bermuda Rd SW
Stone Mountain, GA 30087
Mailing address
2274 Salem Rd SE Ste 106
Conyers, GA 30013-2295
Phone (404) 822-0938
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 |
|---|---|---|---|
| OTA000714 | GA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1736985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1736985600000",
"number": "1699586875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2274 SALEM RD SE STE 106",
"city": "CONYERS",
"state": "GA",
"postal_code": "300132295",
"telephone_number": "404-822-0938"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5610 BERMUDA RD SW",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "30087",
"telephone_number": "678-684-3800"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPLEEN",
"first_name": "CHRISTOPHER",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-01-16",
"last_updated": "2025-01-16",
"certification_date": "2025-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "GA",
"license": "OTA000714",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stone Mountain, GA
- South Hairston Family Dentistry
- Southeast Arts Association (Creative Expressions Counseling and Training)
- Southern Hospitality Care LLC.
- Spa1 Clinic (Buckeye Medical)
- Courteney Spivey, LMT
- Sprint Services
- Tamu Anne Spruill-Barton, FNP
- Janet Taylor St Hilaire, COTA
- Hector Lewis Stanback Jr.
- Cecil Phillip Stancil Jr., D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.