Active NPI
Susan H. Kronenberger, OTR/L
- Pediatric Occupational Therapist
- Marietta, GA
National Provider Identifier
1821238627
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OT000938
- Practice address
- 4939 Lower Roswell Rd
Building C, Suite 201
Marietta, GA 30068-4338 - Phone
- (770) 578-0860
- Fax
- (770) 578-1519
- NPI assigned
- Mar 6, 2009
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT000938 | GA | |
| Pediatric Occupational Therapist | 225XP0200X | OT000938 | GU | Primary |
Addresses
Primary practice location
4939 Lower Roswell Rd
Building C, Suite 201
Marietta, GA 30068-4338
Mailing address
4939 Lower Roswell Rd
Building C, Suite 201
Marietta, GA 30068-4338
Phone (770) 578-0860
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 |
|---|---|---|---|
| OT000938 | GA | MD | Occupational Therapist |
| OT000938 | GU | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1236297600000",
"number": "1821238627",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4939 LOWER ROSWELL RD",
"address_2": "BUILDING C, SUITE 201",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300684338",
"telephone_number": "770-578-0860",
"fax_number": "770-578-1519"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4939 LOWER ROSWELL RD",
"address_2": "BUILDING C, SUITE 201",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300684338",
"telephone_number": "770-578-0860",
"fax_number": "770-578-1519"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KRONENBERGER",
"first_name": "SUSAN",
"middle_name": "H.",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-03-06",
"last_updated": "2009-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT000938",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "GU",
"license": "OT000938",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.