Active NPI
Nicole Kathleen Lobianco, OTR/L
- Occupational Therapist
- Decatur, GA
National Provider Identifier
1801148325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4708
- Practice address
- 3046 Hudson Woods CT
Decatur, GA 30033-1609 - Phone
- (404) 805-7825
- Fax
- (678) 376-9182
- NPI assigned
- Oct 8, 2012
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4708 | GA | Primary |
| Neurorehabilitation Occupational Therapist | 225XN1300X | 4708 | GA | |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 4708 | GA |
Addresses
Primary practice location
3046 Hudson Woods CT
Decatur, GA 30033-1609
Mailing address
3046 Hudson Woods CT
Decatur, GA 30033-1609
Phone (404) 805-7825
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": "1349654400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401148800000",
"number": "1801148325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3046 HUDSON WOODS CT",
"city": "DECATUR",
"state": "GA",
"postal_code": "300331609",
"telephone_number": "404-805-7825",
"fax_number": "678-376-9182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3046 HUDSON WOODS CT",
"city": "DECATUR",
"state": "GA",
"postal_code": "300331609",
"telephone_number": "404-805-7825",
"fax_number": "678-376-9182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOBIANCO",
"first_name": "NICOLE",
"middle_name": "KATHLEEN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-08",
"last_updated": "2014-05-27",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "4708",
"primary": true
},
{
"code": "225XN1300X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Neurorehabilitation",
"state": "GA",
"license": "4708",
"primary": false
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "GA",
"license": "4708",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.