Active NPI
Keisha T. Oliver, OT
- Occupational Therapist
- Riverdale, GA
National Provider Identifier
1861637324
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT003712
- Practice address
- 315 Upper Riverdale Rd SW
Riverdale, GA 30274-2500 - Phone
- (770) 991-2636
- NPI assigned
- Dec 11, 2008
- 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 | OT003712 | GA | Primary |
Addresses
Primary practice location
315 Upper Riverdale Rd SW
Riverdale, GA 30274-2500
Mailing address
791 Marion Ave SE
Atlanta, GA 30312-3615
Phone (678) 637-8318
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 |
|---|---|---|---|
| Knockoutbodyfittness | Occupational Therapist | Past | 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.
-
- Occupational Therapist
- Atlanta, GA
- NPI 1285097733
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1228953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1861637324",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "791 MARION AVE SE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303123615",
"telephone_number": "678-637-8318"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 UPPER RIVERDALE RD SW",
"city": "RIVERDALE",
"state": "GA",
"postal_code": "302742500",
"telephone_number": "770-991-2636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLIVER",
"first_name": "KEISHA",
"middle_name": "T.",
"name_prefix": "Dr.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-11",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT003712",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Riverdale, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 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.