Active NPI
Kimberly Langford, OTA
- Occupational Therapy Assistant
- Rossville, GA
National Provider Identifier
1831616275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OTA000688
- Practice address
- 4001 Stillwater Dr
Rossville, GA 30741-6502 - Phone
- (423) 240-3160
- NPI assigned
- Aug 26, 2017
- Last updated
- Aug 26, 2017
- 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 Therapy Assistant | 224Z00000X | OTA000688 | GA | Primary |
Addresses
Primary practice location
4001 Stillwater Dr
Rossville, GA 30741-6502
Mailing address
1425 McFarland Ave
Rossville, GA 30741-2215
Phone (706) 861-0863
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 |
|---|---|---|---|
| OTA000688 | GA | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503705600000",
"number": "1831616275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 MCFARLAND AVE",
"city": "ROSSVILLE",
"state": "GA",
"postal_code": "307412215",
"telephone_number": "706-861-0863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4001 STILLWATER DR",
"city": "ROSSVILLE",
"state": "GA",
"postal_code": "307416502",
"telephone_number": "423-240-3160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LANGFORD",
"first_name": "KIMBERLY",
"credential": "OTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-26",
"last_updated": "2017-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "GA",
"license": "OTA000688",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rossville, GA
- Daniel W. Jordan, LADAC II, CADC II
- Jose R Justiniano-Ayala, MD
- K-VA-T Food Stores Inc (Food City Pharmacy #217)
- Aaron Michael Kirkpatrick, OTR
- Julie Lynn Kubin, COTA/L
- Alma Ann Larkin Huff, LCSW
- Lookout Mountain Community Service
- Lookout Mountain Community Service
- Lookout Mountain Community Services
- Lookout Mountain Community Services (Renee Smith)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.