Active NPI
Nikeesha Lord, OTR/L
- Occupational Therapist
- Atlanta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT003905
- Practice address
- 3100 Northside Pkwy NW
Atlanta, GA 30327-1563 - Phone
- (404) 480-5951
- NPI assigned
- Feb 28, 2008
- Last updated
- Nov 20, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT003905 | GA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Occupational Therapist | Current | Accepting new patients |
| Select Outpatient Services Inc | Current | Accepting new patients | |
| Select Rehabilitation, LLC | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services, Inc. | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services, Inc. | Occupational Therapist | Current | Accepting new patients |
| Empowerme Rehabilitation Georgia, LLC | Occupational Therapist | Current | 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.
-
- Physical Therapist
- Dawsonville, GA
- NPI 1528419751
Occupational Therapist
-
- Physical Therapist
- Winder, GA
- NPI 1831619337
Occupational Therapist
-
- Rehabilitation Clinic/Center
- Glenview, IL
- NPI 1346368248
GA, Occupational Therapist
-
- Multi-Specialty Clinic/Center
- Cumming, GA
- NPI 1952934374
Occupational Therapist
-
- Rehabilitation Clinic/Center
- Newcastle, WA
- NPI 1285909531
-
- Physical Therapist
- Knoxville, TN
- NPI 1922218122
Occupational Therapist
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.