RDSD Occupational Therapy Services LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

RDSD OCCUPATIONAL THERAPY SERVICES LLC

Practice address

263 Laurel Top RDG
Ellijay, GA 30536-4156

Phone

(770) 880-3882

Fax

(278) 678-0963

NPI assigned

Nov 20, 2018

Organization subpart

No

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

Authorized official

Name

Rebecca D'Angelo, OTNPI 1770840639

Title

Owner/Occupational Therapist

Phone

(770) 880-3882

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rebecca Vinson D'Angelo, OT

  • Occupational Therapist
  • Ellijay, GA
  • NPI 1770840639
  NPD Authorized official

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

{
    "created_epoch": "1542672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623715200000",
    "number": "1972072866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "263 LAUREL TOP RDG",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305364156",
            "telephone_number": "770-880-3882",
            "fax_number": "278-678-0963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "263 LAUREL TOP RDG",
            "city": "ELLIJAY",
            "state": "GA",
            "postal_code": "305364156",
            "telephone_number": "770-880-3882",
            "fax_number": "278-678-0963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RDSD OCCUPATIONAL THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-20",
        "last_updated": "2021-06-15",
        "certification_date": "2021-06-15",
        "status": "A",
        "authorized_official_last_name": "D'ANGELO",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "770-880-3882",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003153016B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2021; 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.