Active NPI
Melissa L Palmer, OTR
- Occupational Therapist
- Marietta, GA
National Provider Identifier
1770620544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT000076
- Practice address
- 413 Indian Hills TRL
Marietta, GA 30068-4055 - Phone
- (770) 973-3466
- Fax
- (770) 977-1582
- NPI assigned
- Jan 31, 2007
- 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 Therapist | 225X00000X | OT000076 | GA | Primary |
Addresses
Primary practice location
413 Indian Hills TRL
Marietta, GA 30068-4055
Mailing address
413 Indian Hills TRL
Marietta, GA 30068-4055
Phone (770) 973-3466
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 |
|---|---|---|---|
| OT000076 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Advanced Rehabilitation Services Inc | Occupational Therapist | Past | 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 and National Provider Directory roles.
-
- Physical Therapy Assistant
- Marietta, GA
- NPI 1790806008
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1770620544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 INDIAN HILLS TRL",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300684055",
"telephone_number": "770-973-3466",
"fax_number": "770-977-1582"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 INDIAN HILLS TRL",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300684055",
"telephone_number": "770-973-3466",
"fax_number": "770-977-1582"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "MELISSA",
"middle_name": "L",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-31",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT000076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.