Individual provider Active NPI

Ashley Pomerlee, OTR/L

  • Occupational Therapist
  • Douglasville, GA
National Provider Identifier
1750749842
Registry record updated Sep 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT006361 Issued in GA
Practice address
2562 Fairburn Rd
D20
Douglasville, GA 30135-1461
Phone
(770) 577-0399
Fax
(678) 922-1515
NPI assigned
Feb 3, 2016
Last updated
Sep 16, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT006361 GA Primary

Addresses

Primary practice location

2562 Fairburn Rd
D20
Douglasville, GA 30135-1461

Mailing address

2145 Lake Park Dr SE
Unit F
Smyrna, GA 30080-8839

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT006361GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tailored Occupational Therapy LLC PastSince Mar 16, 2021 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1454457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473984000000",
    "number": "1750749842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2145 LAKE PARK DR SE",
            "address_2": "UNIT F",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300808839"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2562 FAIRBURN RD",
            "address_2": "D20",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351461",
            "telephone_number": "770-577-0399",
            "fax_number": "678-922-1515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POMERLEE",
        "first_name": "ASHLEY",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-03",
        "last_updated": "2016-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 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.