Active NPI
Jazmin Griselda Rogel
- Occupational Therapist
- Kennesaw, GA
National Provider Identifier
1780379818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT008713
- Practice address
- 4286 Bells Ferry Rd NW Ste 210
Kennesaw, GA 30144-1302 - Phone
- (678) 401-7401
- NPI assigned
- Apr 5, 2023
- Sex
- Female
- Sole proprietor
- No
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 | OT008713 | GA | Primary |
Addresses
Primary practice location
4286 Bells Ferry Rd NW Ste 210
Kennesaw, GA 30144-1302
Mailing address
2550 Akers Mill Rd SE Apt A20
Atlanta, GA 30339-3272
Phone (770) 298-0367
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 |
|---|---|---|---|
| OT008713 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1680652800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1680652800000",
"number": "1780379818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 AKERS MILL RD SE APT A20",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303393272",
"telephone_number": "770-298-0367"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4286 BELLS FERRY RD NW STE 210",
"city": "KENNESAW",
"state": "GA",
"postal_code": "301441302",
"telephone_number": "678-401-7401"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROGEL",
"first_name": "JAZMIN",
"middle_name": "GRISELDA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-04-05",
"last_updated": "2023-04-05",
"certification_date": "2023-04-05",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT008713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennesaw, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.