Active NPI
Shondra Cleveland, OT
- Occupational Therapist
- Atlanta, GA
National Provider Identifier
1720315799
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT004702
- Practice address
- 675 Seminole Ave NE
Suite T05
Atlanta, GA 30307-3408 - Phone
- (404) 575-4000
- Fax
- (404) 575-4010
- NPI assigned
- Nov 11, 2009
- 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 | OT004702 | GA | Primary |
Addresses
Primary practice location
675 Seminole Ave NE
Suite T05
Atlanta, GA 30307-3408
Mailing address
675 Seminole Ave NE
Suite T05
Atlanta, GA 30307-3408
Phone (404) 575-4000
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 |
|---|---|---|---|
| OT004702 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257897600000",
"number": "1720315799",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "675 SEMINOLE AVE NE",
"address_2": "SUITE T05",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303073408",
"telephone_number": "404-575-4000",
"fax_number": "404-575-4010"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "675 SEMINOLE AVE NE",
"address_2": "SUITE T05",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303073408",
"telephone_number": "404-575-4000",
"fax_number": "404-575-4010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CLEVELAND",
"first_name": "SHONDRA",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-11",
"last_updated": "2009-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT004702",
"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 Nov 11, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.