Individual provider Active NPI

Nikeesha Lord, OTR/L

  • Occupational Therapist
  • Atlanta, GA
National Provider Identifier
1982873329
Registry record updated Nov 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT003905 Issued in GA
Practice address
3100 Northside Pkwy NW
Atlanta, GA 30327-1563
Phone
(404) 480-5951
NPI assigned
Feb 28, 2008
Last updated
Nov 20, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Occupational Therapist 225X00000X OT003905 GA Primary

Addresses

Primary practice location

3100 Northside Pkwy NW
Atlanta, GA 30327-1563

Mailing address

2897 N Druid Hills Rd NE Ste 382
Atlanta, GA 30329-3924
Phone (562) 673-6063

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150318001301 GA Practitioner - Occupational Therapist in Private Practice 6305163064 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT003905GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Sep 1, 2025 Accepting new patients
Select Outpatient Services Inc CurrentSince Nov 19, 2022 Accepting new patients
Select Rehabilitation, LLC Occupational Therapist CurrentSince Nov 19, 2022 Accepting new patients
Legacy Healthcare Services, Inc. Occupational Therapist CurrentSince Sep 1, 2025 Accepting new patients
Legacy Healthcare Services, Inc. Occupational Therapist CurrentSince Sep 1, 2025 Accepting new patients
Empowerme Rehabilitation Georgia, LLC Occupational Therapist CurrentSince Nov 8, 2022 Accepting new patients
Functional Pathways of Tennessee LLC Occupational Therapist Past Accepting new patients

Locations

253 N Main St
Alpharetta, GA 30009
Phone (770) 299-0345

762 N Main St
Alpharetta, GA 30009
Phone (678) 268-6335

890 Scranton Rd
Brunswick, GA 31525
Phone (281) 832-4022

125 Riverstone Ter
Canton, GA 30114
Phone (770) 479-0472

3333 E Cherokee Dr
Canton, GA 30115
Phone (470) 714-6698

1479 Grove Park Dr
Columbus, GA 31904
Phone (706) 222-7188

4500 S Stadium Dr
Columbus, GA 31909
Phone (706) 561-5560

10050 Eagle Dr
Covington, GA 30014
Phone (678) 248-8138

5610 Hampton Park Dr
Cumming, GA 30041
Phone (470) 866-5540

4605 Timber Ridge Dr
Douglasville, GA 30135
Phone (470) 347-9868

212 Fairview Park Dr
Dublin, GA 31021
Phone (478) 275-9888

5373 Thompson Mill Rd
Hoschton, GA 30548
Phone (678) 358-6200

11190 Medlock Bridge Rd
Johns Creek, GA 30097
Phone (678) 691-6815

12050 Findley Rd
Johns Creek, GA 30097
Phone (404) 383-1129

5050 Kimball Bridge Rd
Johns Creek, GA 30005
Phone (678) 395-4202

1155 Lawrenceville Hwy
Lawrenceville, GA 30046
Phone (770) 526-9340

166 Oakland Pkwy
Leesburg, GA 31763
Phone (229) 232-8520

550 Barrington Dr
Roswell, GA 30075
Phone (678) 436-8672

7410 Skidaway Rd
Savannah, GA 31406
Phone (912) 354-6185

2700 Patrick Henry Pkwy
Stockbridge, GA 30281
Phone (770) 464-5088

475 Country Club Dr
Stockbridge, GA 30281
Phone (470) 508-1814

4580 Towne Lake Pkwy
Woodstock, GA 30189
Phone (678) 771-6459

1335 Strassner Dr
Saint Louis, MO 63144
Phone (314) 673-6723

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668902400000",
    "number": "1982873329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2897 N DRUID HILLS RD NE STE 382",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303293924",
            "telephone_number": "562-673-6063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 NORTHSIDE PKWY NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303271563",
            "telephone_number": "404-480-5951"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LORD",
        "first_name": "NIKEESHA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-28",
        "last_updated": "2022-11-20",
        "certification_date": "2022-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT003905",
            "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 Nov 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.