VERDAIERA VERSOHN ETIENNE OTD, OTR/L
NPI 1710256326
Occupational Therapist in Atlanta, GA
About Verdaiera Versohn Etienne Otd, Otr/l NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VERDAIERA VERSOHN ETIENNE OTD, OTR/L (NPI 1710256326) is an individual occupational therapist in Atlanta, Georgia, licensed in Georgia (OT004670) and active in the NPI registry since December 2011.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Verdaiera Versohn Etienne Otd, Otr/l is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Verdaiera Etienne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Atlanta, GA 30350
- Reassigned Medicare billing, Georgia enrollment
- 220 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Other Providers at the Same Location NPPES 6
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Verdaiera Etienne's NPI number?
The NPI number for Verdaiera Etienne is 1710256326. It was assigned to this individual provider in the NPPES registry on December 28, 2011. The provider is also known as Verdaiera Versohn Merritt.
Where is Verdaiera Etienne located?
Verdaiera Etienne practices at 2401 Cumberland Pkwy SE, Atlanta, GA 30339. The listed phone number is (770) 435-4477.
What is Verdaiera Etienne's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Verdaiera Etienne enrolled in Medicare?
Yes. Verdaiera Etienne is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Verdaiera Etienne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Verdaiera Etienne reassigns Medicare benefits to Fox Rehabilitation Ga, LLC (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Verdaiera Etienne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Verdaiera Etienne was last updated on December 28, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.