NPIMap

Individual provider Active NPI

Madhu Kapoor, OTR

  • Occupational Therapist
  • Lawrenceville, GA
National Provider Identifier
1790928448
Registry record updated Apr 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT001624 Issued in GA
Practice address
368 W Pike St
Suite 204
Lawrenceville, GA 30045-3240
Phone
(770) 755-5278
Fax
(770) 755-5682
NPI assigned
Apr 10, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2009

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 OT001624 GA Primary

Addresses

Primary practice location

368 W Pike St
Suite 204
Lawrenceville, GA 30045-3240

Mailing address

368 W Pike St
Suite 204
Lawrenceville, GA 30045-3240
Phone (770) 755-5278

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

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Medical-Wellness Centers, LLC Past Accepting new patients
NRC Medicals Supplies, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1239321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1239321600000",
    "number": "1790928448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "368 W PIKE ST",
            "address_2": "SUITE 204",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453240",
            "telephone_number": "770-755-5278",
            "fax_number": "770-755-5682"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "368 W PIKE ST",
            "address_2": "SUITE 204",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300453240",
            "telephone_number": "770-755-5278",
            "fax_number": "770-755-5682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAPOOR",
        "first_name": "MADHU",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-10",
        "last_updated": "2009-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT001624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2009; 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.