Mr Ryan Ot LLC
Occupational Therapist in Alpharetta, GA. Organization (NPI-2).
NPI number1730936634
StatusActive
Last updated in NPPESMay 20, 2024
Details
- NPI
- 1730936634
- Entity type
- Organization (NPI-2)
- Legal business name
- Mr Ryan Ot LLC
- Organization subpart
- No
- Enumeration date
- Apr 30, 2024
- Certification date
- May 20, 2024
- Last updated
- May 20, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | – | – | Yes |
Practice location
1010 Jennifer Oaks DrAlpharetta, GA 30004-6722
Phone 678-234-2372
Mailing address
1010 Jennifer Oaks DrAlpharetta, GA 30004-6722
Phone 678-234-2372
Authorized official
Briouna Richards
Credentialing Manager
6782038826
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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