Achelois, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT005909 Issued in GA

Legal business name

ACHELOIS, LLC

Practice address

3540 Wheeler Rd Ste 508
Augusta, GA 30909

Phone

(706) 364-3507

NPI assigned

Feb 6, 2018

Last updated

Aug 6, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mary Kathleen Robbins-Kralapp, RN JD

Title

President

Phone

(239) 471-0116

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1517875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533513600000",
    "number": "1902305865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3314 SE 22ND AVE",
            "city": "CAPE CORAL",
            "state": "FL",
            "postal_code": "339044421",
            "telephone_number": "239-540-2725"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3540 WHEELER RD STE 508",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30909",
            "telephone_number": "706-364-3507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACHELOIS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-06",
        "last_updated": "2018-08-06",
        "status": "A",
        "authorized_official_last_name": "ROBBINS-KRALAPP",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "KATHLEEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "239-471-0116",
        "authorized_official_credential": "RN JD"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Augusta, GA
• Providers in Augusta, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2018; 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.