Individual provider Active NPI

Victoria Christine Louth, OTR/L

  • Occupational Therapist
  • Doraville, GA
National Provider Identifier
1700432010
Registry record updated Aug 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT007405 Issued in GA
Practice address
6035 Peachtree Rd Ste C120
Doraville, GA 30360-3234
Phone
(678) 514-3270
NPI assigned
Aug 13, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 13, 2019

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 OT007405 GA Primary

Addresses

Primary practice location

6035 Peachtree Rd Ste C120
Doraville, GA 30360-3234

Mailing address

6035 Peachtree Rd Ste C120
Doraville, GA 30360-3234
Phone (678) 514-3270

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

LicenseStateTypeSpecialty
OT007405GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Atlanta Pediatric Therapy, Inc. PastSince Aug 18, 2019 Accepting new patients
Cobblestone Pathways, LLC Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1565654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565654400000",
    "number": "1700432010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 PEACHTREE RD STE C120",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303603234",
            "telephone_number": "678-514-3270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 PEACHTREE RD STE C120",
            "city": "DORAVILLE",
            "state": "GA",
            "postal_code": "303603234",
            "telephone_number": "678-514-3270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUTH",
        "first_name": "VICTORIA",
        "middle_name": "CHRISTINE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-13",
        "last_updated": "2019-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doraville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.