Individual provider Active NPI

Katherine Cookson, OT

  • Pediatric Occupational Therapist
  • Lawrenceville, GA
National Provider Identifier
1801802814
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT001328 Issued in GA
Practice address
250 Langley Dr
Suite 1312
Lawrenceville, GA 30045-6932
Phone
(678) 315-0762
NPI assigned
Jul 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT001328 GA Primary

Addresses

Primary practice location

250 Langley Dr
Suite 1312
Lawrenceville, GA 30045-6932

Mailing address

963 Hawk Creek TRL
Lawrenceville, GA 30043-3477
Phone (678) 315-0762

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

LicenseStateTypeSpecialty
OT001328GAMDPediatric Occupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1801802814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "963 HAWK CREEK TRL",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300433477",
            "telephone_number": "678-315-0762",
            "fax_number": "770-513-7706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 LANGLEY DR",
            "address_2": "SUITE 1312",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300456932",
            "telephone_number": "678-315-0762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKSON",
        "first_name": "KATHERINE",
        "credential": "OT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT001328",
            "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 Jul 8, 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.

Verify at the official NPI Registry.