Individual provider Active NPI

Carol Specter Nemerov, OTR/L

  • Occupational Therapist
  • Marietta, GA
National Provider Identifier
1942214945
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT004284 Issued in GA
Practice address
3347 River Heights Xing SE
Marietta, GA 30067-4861
Phone
(770) 980-9276
Fax
(770) 980-9276
NPI assigned
Jul 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT004284 GA Primary

Addresses

Primary practice location

3347 River Heights Xing SE
Marietta, GA 30067-4861

Mailing address

3347 River Heights Xing SE
Marietta, GA 30067-4861
Phone (770) 980-9276

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

State licenses

LicenseStateTypeSpecialty
OT004284GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Reid Clinic Sports Physical Therapy and Spine LLC PastSince Aug 25, 2024 Accepting new patients
Carol Nemerov Otr/L Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942214945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3347 RIVER HEIGHTS XING SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300674861",
            "telephone_number": "770-980-9276",
            "fax_number": "770-980-9276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3347 RIVER HEIGHTS XING SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300674861",
            "telephone_number": "770-980-9276",
            "fax_number": "770-980-9276"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEMEROV",
        "first_name": "CAROL",
        "middle_name": "SPECTER",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004284",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.