Active NPI
Courtney Degraffenreid-Elliott, OT
- Occupational Therapist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT006822
- Practice address
- 2848 Lenox Rd NE
Atlanta, GA 30324-6004 - Phone
- (678) 249-7120
- NPI assigned
- Mar 5, 2019
- 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 | OT006822 | GA | Primary |
Addresses
Primary practice location
2848 Lenox Rd NE
Atlanta, GA 30324-6004
Mailing address
PO Box 500
Dallas, GA 30132-0009
Phone (678) 249-7120
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT006822 | Other | GA | LICENSE NUMBER |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5610 Hampton Park Dr
Cumming, GA 30041-4004
Phone (470) 866-5540
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT006822 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empowerme Rehabilitation Georgia, LLC | Occupational Therapist | Current | Accepting new patients |
| Dove Rehab, LLC | Current | Accepting new patients | |
| Functional Pathways Preferred of Tennessee LLC | Occupational Therapist | Current | Accepting new patients |
| Empowerme Medical Group, PC | Current | Accepting new patients | |
| Empowerme Medical Group, PC | Current | Accepting new patients |
Locations
5610 Hampton Park Dr
Cumming, GA 30041
Phone (470) 866-5540
9 Sherwood Ln SE
Marietta, GA 30067
Phone (404) 642-5497
4455 Lower Roswell Rd
Unit 683641
Marietta, GA 30068
5701 Spalding Dr
Peachtree Corners, GA 30092
Phone (470) 706-8162
1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723
10133 Sherrill Blvd
Ste 200
Knoxville, TN 37932
Phone (865) 392-2847
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Cumming, GA
- NPI 1952934374
Occupational Therapist
-
- Physical Therapist
- Atlanta, GA
- NPI 1346581915
-
- Geriatric Medicine (Internal Medicine) Physician
- Peachtree Corners, GA
- NPI 1235993262
-
- Physical Therapist
- Knoxville, TN
- NPI 1841561446
GA, Occupational Therapist
-
- Geriatric Medicine (Internal Medicine) Physician
- Raleigh, NC
- NPI 1407673965
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1551744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551744000000",
"number": "1710445127",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 500",
"city": "DALLAS",
"state": "GA",
"postal_code": "301320009",
"telephone_number": "678-249-7120"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2848 LENOX RD NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303246004",
"telephone_number": "678-249-7120"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGRAFFENREID-ELLIOTT",
"first_name": "COURTNEY",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-03-05",
"last_updated": "2019-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT006822",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE NUMBER",
"identifier": "OT006822",
"state": "GA"
}
],
"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 Mar 5, 2019; 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.