Active NPI
Lori Ann Mikesell, OTR/L
- Occupational Therapist
- Atlanta, GA
National Provider Identifier
1972744175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT004893
- Practice address
- 3443 Kingsboro Rd NE
Apt 1114
Atlanta, GA 30326-3316 - Phone
- (765) 993-4388
- NPI assigned
- Mar 18, 2009
- 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 | OT004893 | GA | Primary |
Addresses
Primary practice location
3443 Kingsboro Rd NE
Apt 1114
Atlanta, GA 30326-3316
Mailing address
3443 Kingsboro Rd NE
Apt 1114
Atlanta, GA 30326-3316
Phone (765) 993-4388
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT004893 | GA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1237334400000",
"number": "1972744175",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3443 KINGSBORO RD NE",
"address_2": "APT 1114",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303263316",
"telephone_number": "765-993-4388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3443 KINGSBORO RD NE",
"address_2": "APT 1114",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303263316",
"telephone_number": "765-993-4388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MIKESELL",
"first_name": "LORI",
"middle_name": "ANN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-03-18",
"last_updated": "2009-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT004893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.