Jacquelyn Alexandra Ross, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT007913 Issued in GA

Practice address

5050 Research CT Ste 800
Suwanee, GA 30024-6606

Phone

(678) 749-7600

NPI assigned

Nov 19, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1605744000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1922601012",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GENTRY GATE",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300226262",
            "telephone_number": "404-626-4985"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5050 RESEARCH CT STE 800",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300246606",
            "telephone_number": "678-749-7600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "JACQUELYN",
        "middle_name": "ALEXANDRA",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-19",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.013908",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill B Ronske
• Ramenise Janice Rosado Cartagena
• Shirley S Rosales Mejia, PAC
• Cameron Rosato, RBT
• Jay L Rosenheck, D.D.S.
• Melanie Ross, LAPC
• Jeffrey Ira Roth, MD
• Kara Rothmann, PSY.D.
• Jennifer W. Rotunda, LPC, LMHC, NCC
• Isis Joi Rouse

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2020; 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.