P Praxis·MD
● Active Type 1 · Individual

Kelli Lauderdale, COTA/L

Occupational Therapy Assistant·Marietta, GA· NPI 1285978817 · Enumerated 2012 · 13 years on NPI
Lauderdale is 1 of 16 occupational therapy assistant providers in Marietta and 1 of 565 in Georgia.
NPI age
13 years
Enumerated 2012-11-20
Primary specialty
Occupational Therapy Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-11-20
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 565 active occupational therapy assistant providers in Georgia.

NPI age
13 years
↑ 5 yr above median (8 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
11% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-11Enumerated in NPPES
2012 2026

Where they practice

Practice location
2754 Owens Ave Sw
Marietta, GA 300644280
📞 5133289929
Mailing address
2754 Owens Ave Sw
Marietta, GA 300644280

Specialties

  • Occupational Therapy Assistant Primary
    An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has...
    GA license #OTA000832 taxonomy 224Z00000X

Practice context

Solo or small practice. No other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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