Alexandra Katsorelos, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

11660 Alpharetta Hwy Ste 560
Roswell, GA 30076-3883

Phone

(770) 753-9195

Fax

(770) 753-9196

NPI assigned

Sep 14, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Reid Clinic Sports Physical Therapy and Spine LLC

  • Physical Therapy Clinic/Center
  • Roswell, GA
  • NPI 1609106418
  NPD (past)

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

{
    "created_epoch": "1473811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473811200000",
    "number": "1740738178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11660 ALPHARETTA HWY STE 560",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763883",
            "telephone_number": "770-753-9195",
            "fax_number": "770-753-9196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11660 ALPHARETTA HWY STE 560",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300763883",
            "telephone_number": "770-753-9195",
            "fax_number": "770-753-9196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KATSORELOS",
        "first_name": "ALEXANDRA",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-14",
        "last_updated": "2016-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Munir Kashlan
• Zacharia Kashlan, DMD
• Vahan S Kassabian, M.D.
• Mohit Kataria, DDS
• Nalini Kataria, DMD
• Richard Kaufman, D.P.M.
• Lauren Kavanaugh
• Kelly Kaylor, COTA
• Paige Kearley, OTR/L
• Amy Carlisle Keating, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.