Active NPI
Tina Prince, OT
- Occupational Therapist
- Marietta, GA
National Provider Identifier
1831528280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT000497
- Practice address
- 790 Oak Trail Dr
Marietta, GA 30062-7502 - Phone
- (770) 977-6866
- Fax
- (770) 783-8639
- NPI assigned
- Nov 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT000497 | GA | Primary |
Addresses
Primary practice location
790 Oak Trail Dr
Marietta, GA 30062-7502
Mailing address
790 Oak Trail Dr
Marietta, GA 30062-7502
Phone (770) 977-6866
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": "1383696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383696000000",
"number": "1831528280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 OAK TRAIL DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300627502",
"telephone_number": "770-977-6866",
"fax_number": "770-783-8639"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "790 OAK TRAIL DR",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300627502",
"telephone_number": "770-977-6866",
"fax_number": "770-783-8639"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRINCE",
"first_name": "TINA",
"name_prefix": "Ms.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-11-06",
"last_updated": "2013-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT000497",
"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 Nov 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.