Active NPI
Nicole Robyn Sonnier, M.S. OTR/L
- Pediatric Occupational Therapist
- Smyrna, GA
National Provider Identifier
1730489709
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT005177
- Practice address
- 3200 Highlands Pkwy SE
Smyrna, GA 30082-5166 - Phone
- (770) 433-2300
- NPI assigned
- Oct 25, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT005177 | GA | |
| Pediatric Occupational Therapist | 225XP0200X | OT005177 | GA | Primary |
Addresses
Primary practice location
3200 Highlands Pkwy SE
Smyrna, GA 30082-5166
Mailing address
94 Linville Pointe
Dallas, GA 30157-5250
Phone (404) 731-3839
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT005177 | GA | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331164800000",
"number": "1730489709",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "94 LINVILLE POINTE",
"city": "DALLAS",
"state": "GA",
"postal_code": "301575250",
"telephone_number": "404-731-3839"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 HIGHLANDS PKWY SE",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300825166",
"telephone_number": "770-433-2300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SONNIER",
"first_name": "NICOLE",
"middle_name": "ROBYN",
"credential": "M.S. OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-10-25",
"last_updated": "2012-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT005177",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "GA",
"license": "OT005177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.