Active NPI
Renee O Ilori, OTR
- Occupational Therapist
- Alpharetta, GA
National Provider Identifier
1841847670
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT007472
- Practice address
- 255 Vaughn Dr
Alpharetta, GA 30009-2415 - Phone
- (470) 485-0411
- NPI assigned
- Aug 26, 2019
- 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 | OT007472 | GA | Primary |
Addresses
Primary practice location
255 Vaughn Dr
Alpharetta, GA 30009-2415
Mailing address
3000 Highway 5 Apt 1102
Douglasville, GA 30135-6907
Phone (908) 246-3784
Other practice location 1
11190 Medlock Bridge Rd
Johns Creek, GA 30097-2578
Phone (678) 585-2341
Other practice location 2
4005 S Cobb Dr SE
Smyrna, GA 30080-6307
Phone (770) 431-7055
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeastern Swallowing Diagnostics | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Health Service Clinic/Center
- Ooltewah, TN
- NPI 1205377348
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1566777600000",
"number": "1841847670",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3000 HIGHWAY 5 APT 1102",
"city": "DOUGLASVILLE",
"state": "GA",
"postal_code": "301356907",
"telephone_number": "908-246-3784"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 VAUGHN DR",
"city": "ALPHARETTA",
"state": "GA",
"postal_code": "300092415",
"telephone_number": "470-485-0411"
}
],
"practiceLocations": [
{
"address_1": "11190 Medlock Bridge Rd",
"address_purpose": "LOCATION",
"city": "Johns Creek",
"state": "GA",
"postal_code": "300972578",
"country_code": "US",
"telephone_number": "678-585-2341",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4005 S Cobb Dr SE",
"address_purpose": "LOCATION",
"city": "Smyrna",
"state": "GA",
"postal_code": "300806307",
"country_code": "US",
"telephone_number": "770-431-7055",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "ILORI",
"first_name": "RENEE",
"middle_name": "O",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-26",
"last_updated": "2019-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT007472",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Alpharetta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.