Individual provider Active NPI

Catherine Ellen Cherof, OTR/L

  • Occupational Therapist
  • Valdosta, GA
National Provider Identifier
1750762514
Registry record updated Aug 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT006136 Issued in GA
Practice address
3322 Greystone Way Ste B
Valdosta, GA 31605-7422
Phone
(229) 469-6932
Fax
(229) 469-6933
NPI assigned
Jun 17, 2015
Last updated
Aug 20, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2015

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 OT006136 GA Primary

Addresses

Primary practice location

3322 Greystone Way Ste B
Valdosta, GA 31605-7422

Mailing address

3322 Greystone Way Ste B
Valdosta, GA 31605-7422
Phone (229) 469-6932

Other identifiers 1

IdentifierTypeStateIssuer
003161860AMedicaidGA

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

NPI Registry JSON

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

{
    "created_epoch": "1434499200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1440028800000",
    "number": "1750762514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3322 GREYSTONE WAY STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057422",
            "telephone_number": "229-469-6932",
            "fax_number": "229-469-6933"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3322 GREYSTONE WAY STE B",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316057422",
            "telephone_number": "229-469-6932",
            "fax_number": "229-469-6933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHEROF",
        "first_name": "CATHERINE",
        "middle_name": "ELLEN",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-17",
        "last_updated": "2015-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003161860A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.