Active NPI
Stacey Ronzetti, COTA
- Occupational Therapy Assistant
- Cumming, GA
National Provider Identifier
1730949876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 6376
- Practice address
- 5225 Hudson Valley Dr
Cumming, GA 30028-5624 - Phone
- (678) 455-5009
- NPI assigned
- Mar 19, 2024
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 224Z00000X | 6376 | AL | Primary |
Addresses
Primary practice location
5225 Hudson Valley Dr
Cumming, GA 30028-5624
Mailing address
5225 Hudson Valley Dr
Cumming, GA 30028-5624
Phone (678) 455-5009
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 |
|---|---|---|---|
| 6376 | AL | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1710806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710806400000",
"number": "1730949876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5225 HUDSON VALLEY DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300285624",
"telephone_number": "678-455-5009"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5225 HUDSON VALLEY DR",
"city": "CUMMING",
"state": "GA",
"postal_code": "300285624",
"telephone_number": "678-455-5009"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RONZETTI",
"first_name": "STACEY",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-03-19",
"last_updated": "2024-03-19",
"certification_date": "2024-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AL",
"license": "6376",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 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.