Rabun Marie Robertson, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT006976 Issued in GA

Practice address

2320 Perimeter Park Drive
Atlanta, GA 30341

Phone

(770) 393-9901

Fax

(770) 936-4601

NPI assigned

Mar 1, 2018

Last updated

Mar 1, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Ms. Rabun Marie Robertson Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Cordero and Associates

  dba ITTS For Children

  • Pediatric Occupational Therapist
  • Atlanta, GA
  • NPI 1649616996

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1519862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519862400000",
    "number": "1992207344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2320 PERIMETER PARK DRIVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30341",
            "telephone_number": "770-393-9901",
            "fax_number": "770-936-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2320 PERIMETER PARK DRIVE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30341",
            "telephone_number": "770-393-9901",
            "fax_number": "770-936-4601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "RABUN",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-01",
        "last_updated": "2018-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT006976",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006976",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RABUN",
            "last_name": "ROBERTSON",
            "middle_name": "MARIE",
            "prefix": "MS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Jana Lisa Robertson, AU.D.
• Kevin Clark Robertson, PAC
• Kim J Robertson, LMSW
• Matthew Tyler Robertson, DPT
• Michelle Robertson
• Rachel Robertson, LCSW
• Simon Robertson, LMSW
• Tami Carby Robertson, O.D.
• Torri Robertson, CERTIFIED HAIR LOSS
• Craig Terrell Robey

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2018; 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.