Active NPI
Occupational Rehab Services
- Occupational Therapist
- Evans, GA
National Provider Identifier
1821262577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT003551
- Legal business name
- OCCUPATIONAL REHAB SERVICES
- Practice address
- 815 Walden Glen LN
Evans, GA 30809-3144 - Phone
- (706) 495-2528
- Fax
- (706) 364-2518
- NPI assigned
- Apr 14, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Melinda L Coleman, OTR/L
- Title
- Owner
- Phone
- (706) 495-2528
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT005606 | GA | |
| Occupational Therapist | 225X00000X | OT003551 | GA | Primary |
Addresses
Primary practice location
815 Walden Glen LN
Evans, GA 30809-3144
Mailing address
815 Walden Glen LN
Evans, GA 30809-3144
Phone (706) 495-2528
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 39210989A | Medicaid | GA | |
| TH1245 | Medicaid | SC |
Other names 1
- Melinda L Coleman
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Occupational Therapist
- Evans, GA
- NPI 1255350880
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208131200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214265600000",
"number": "1821262577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "815 WALDEN GLEN LN",
"city": "EVANS",
"state": "GA",
"postal_code": "308093144",
"telephone_number": "706-495-2528",
"fax_number": "706-364-2518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "815 WALDEN GLEN LN",
"city": "EVANS",
"state": "GA",
"postal_code": "308093144",
"telephone_number": "706-495-2528",
"fax_number": "706-364-2518"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OCCUPATIONAL REHAB SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-14",
"last_updated": "2008-06-24",
"status": "A",
"authorized_official_last_name": "COLEMAN",
"authorized_official_first_name": "MELINDA",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-495-2528",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT005606",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT003551",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "39210989A",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "TH1245",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Melinda L Coleman",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.