VERDAIERA VERSOHN ETIENNE OTD, OTR/L
NPI 1710256326
Occupational Therapist in Atlanta, GA

Active since December 28, 2011
2401 CUMBERLAND PKWY SE, ATLANTA, GA 30339(770) 435-4477(770) 435-8413 Get Directions Write a Review

NPPES record last updated: December 28, 2011. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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

NPI1710256326
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameVERDAIERA VERSOHN ETIENNECredential: OTD, OTR/L
Location Address2401 CUMBERLAND PKWY SEAtlanta, GA 30339-1808
Mailing Address2222 Sullivan TrlEaston, PA 18040-7958 · (800) 944-9782 · Fax (610) 438-2046
Fax(770) 435-8413
Sole ProprietorNo
Enumeration DateDecember 28, 2011
✔ NPI 1710256326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License✔ Licensed in GA · OT004670
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life.
2401 CUMBERLAND PKWY SE, Atlanta, GA 30339

Other Names 1

Former Name (1)Verdaiera Versohn Merritt

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.

Physical Therapist
1260 HIGHTOWER TRL
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.

Occupational Therapist
2401 CUMBERLAND PKWY SE
ATLANTA, GA 30339
Occupational Therapist
2401 CUMBERLAND PKWY SE
ATLANTA, GA 30339
Physical Therapist
2401 CUMBERLAND PKWY SE
ATLANTA, GA 30339
Speech-Language Pathologist
2401 CUMBERLAND PKWY SE
ATLANTA, GA 30339
Physical Therapist
2401 CUMBERLAND PKWY SE
ATLANTA, GA 30339
Physical Therapist
2401 CUMBERLAND PKWY SE
ATLANTA, GA 30339

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.