Individual provider Active NPI

Sheryl Annemarie Parry, OTR/L

  • Occupational Therapist
  • Acworth, GA
National Provider Identifier
1992992648
Registry record updated Sep 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT004639 Issued in GA
Practice address
3823 Autumn View LN NW
Acworth, GA 30101-7671
Phone
(770) 318-4410
NPI assigned
Sep 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT19126 FL
Occupational Therapist 225X00000X OT1071 HI
Occupational Therapist 225X00000X 006579-1 NY
Occupational Therapist 225X00000X OT004639 GA Primary

Addresses

Primary practice location

3823 Autumn View LN NW
Acworth, GA 30101-7671

Mailing address

3823 Autumn View LN NW
Acworth, GA 30101-7671
Phone (770) 318-4410

Other identifiers 2

IdentifierTypeStateIssuer
1992992648MedicaidGA
1992992648MedicaidNY

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080609000910 GA Practitioner - Occupational Therapist in Private Practice 0749350247 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT19126FLMDOccupational Therapist
OT1071HIMDOccupational Therapist
006579-1NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Tiptop Therapy Services, LLC Occupational Therapist CurrentSince Sep 20, 2022 Accepting new patients
Legacy Healthcare Services, Inc. Occupational Therapist CurrentSince Nov 10, 2024 Accepting new patients
Tiptop Therapy Services LLC CurrentSince Sep 20, 2022 Accepting new patients
Legacy Healthcare Services Inc Occupational Therapist CurrentSince Nov 10, 2024 Accepting new patients

Locations

110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1190764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662940800000",
    "number": "1992992648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3823 AUTUMN VIEW LN NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017671",
            "telephone_number": "770-318-4410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3823 AUTUMN VIEW LN NW",
            "city": "ACWORTH",
            "state": "GA",
            "postal_code": "301017671",
            "telephone_number": "770-318-4410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARRY",
        "first_name": "SHERYL",
        "middle_name": "ANNEMARIE",
        "name_prefix": "Ms.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-09-26",
        "last_updated": "2022-09-12",
        "certification_date": "2022-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT19126",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "HI",
            "license": "OT1071",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NY",
            "license": "006579-1",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992992648",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992992648",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Acworth, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.