Active NPI
Chelsea Rubin, MS, OTR/L
- Occupational Therapist
- Atlanta, GA
National Provider Identifier
1790178911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT006133
- Practice address
- 1264 Van Allen Mews NW
Atlanta, GA 30318-4180 - Phone
- (561) 427-8383
- NPI assigned
- Mar 12, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | |||
| Occupational Therapist | 225X00000X | OT006133 | GA | Primary |
Addresses
Primary practice location
1264 Van Allen Mews NW
Atlanta, GA 30318-4180
Mailing address
1264 Van Allen Mews NW
Atlanta, GA 30318-4180
Other practice location 1
755 Dory Rd N
North Palm Beach, FL 33408
Phone (561) 427-8383
Other names 1
- Chelsea Witters
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT006133 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1564358400000",
"number": "1790178911",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1264 VAN ALLEN MEWS NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303184180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1264 VAN ALLEN MEWS NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303184180",
"telephone_number": "561-427-8383"
}
],
"practiceLocations": [
{
"address_1": "755 Dory Rd N",
"address_purpose": "LOCATION",
"city": "North Palm Beach",
"state": "FL",
"postal_code": "33408",
"country_code": "US",
"telephone_number": "561-427-8383",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RUBIN",
"first_name": "CHELSEA",
"credential": "MS, OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-03-12",
"last_updated": "2019-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT006133",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "CHELSEA",
"last_name": "WITTERS",
"credential": "MS, OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.