Mr Ryan OT LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

MR RYAN OT LLC

Practice address

1010 Jennifer Oaks Dr
Alpharetta, GA 30004-6722

Phone

(678) 234-2372

NPI assigned

Apr 30, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Briouna Richards

Title

Credentialing Manager

Phone

(678) 203-8826

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1714435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1730936634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1010 JENNIFER OAKS DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046722",
            "telephone_number": "678-234-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1010 JENNIFER OAKS DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300046722",
            "telephone_number": "678-234-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MR RYAN OT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-30",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "BRIOUNA",
        "authorized_official_title_or_position": "CREDENTIALING MANAGER",
        "authorized_official_telephone_number": "678-203-8826"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.