NPIMap

Organization Active NPI

Cathleen Shepherd

Doing business as Pediatric Occupational Therapy

  • Occupational Therapist
  • Cartersville, GA
National Provider Identifier
1841355898
Registry record updated Jun 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Legal business name
CATHLEEN SHEPHERD
Doing business as
Pediatric Occupational Therapy
Practice address
116 Forrest Ave
Cartersville, GA 30120-3640
Phone
(770) 382-3206
Fax
(770) 382-3276
NPI assigned
Dec 27, 2006
Last updated
Jun 28, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2008

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

Authorized official

Name
Cathy Shepherd
Title
Sole Proprietor
Phone
(770) 434-3999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X NU Primary

Addresses

Primary practice location

116 Forrest Ave
Cartersville, GA 30120-3640

Mailing address

2896 Knob Hill Dr SE
Atlanta, GA 30339-4201
Phone (770) 434-3999

Other names 1

  • Pediatric Occupational Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Cathleen Shepherd2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

116 Forrest Ave
Cartersville, GA 30120
Phone (770) 382-3206

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214611200000",
    "number": "1841355898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2896 KNOB HILL DR SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394201",
            "telephone_number": "770-434-3999",
            "fax_number": "770-434-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 FORREST AVE",
            "city": "CARTERSVILLE",
            "state": "GA",
            "postal_code": "301203640",
            "telephone_number": "770-382-3206",
            "fax_number": "770-382-3276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CATHLEEN SHEPHERD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-27",
        "last_updated": "2008-06-28",
        "status": "A",
        "authorized_official_last_name": "SHEPHERD",
        "authorized_official_first_name": "CATHY",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "770-434-3999"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pediatric Occupational Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Cartersville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 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.

Verify at the official NPI Registry.