Organization Active NPI

Kids That Can

  • Pediatric Physical Therapist
  • Tyrone, GA
National Provider Identifier
1013352111
Registry record updated Nov 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
KIDS THAT CAN
Practice address
1130 Senoia Road
Suite A1
Tyrone, GA 30290-1640
Phone
(678) 632-6765
Fax
(678) 550-7931
NPI assigned
May 2, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2016

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

Authorized official

Name
Mr. Scott Nye
Title
Business Manager
Phone
(678) 632-6765

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X Primary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X

Addresses

Primary practice location

1130 Senoia Road
Suite A1
Tyrone, GA 30290-1640

Mailing address

1130 Senoia Road
Suite A1
Tyrone, GA 30290-1640
Phone (678) 632-6765

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1367452800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478044800000",
    "number": "1013352111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 SENOIA ROAD",
            "address_2": "SUITE A1",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302901640",
            "telephone_number": "678-632-6765",
            "fax_number": "678-550-7931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 SENOIA ROAD",
            "address_2": "SUITE A1",
            "city": "TYRONE",
            "state": "GA",
            "postal_code": "302901640",
            "telephone_number": "678-632-6765",
            "fax_number": "678-550-7931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS THAT CAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-02",
        "last_updated": "2016-11-02",
        "status": "A",
        "authorized_official_last_name": "NYE",
        "authorized_official_first_name": "SCOTT",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "678-632-6765",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tyrone, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.