Active NPI
Drayer Therapy LLC
- Pediatric Occupational Therapist
- Decatur, GA
National Provider Identifier
1033858089
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- Legal business name
- DRAYER THERAPY LLC
- Practice address
- 1073 Greenbriar Cir
Decatur, GA 30033-4404 - Phone
- (501) 952-2718
- NPI assigned
- May 28, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kailen Drayer, OTD,OTR/L
- Title
- Single Member
- Phone
- (501) 952-2718
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | |||
| Pediatric Occupational Therapist | 225XP0200X | Primary | ||
| Speech-Language Pathologist | 235Z00000X | |||
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X |
Addresses
Primary practice location
1073 Greenbriar Cir
Decatur, GA 30033-4404
Mailing address
1073 Greenbriar Cir
Decatur, GA 30033-4404
Phone (501) 952-2718
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653696000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658188800000",
"number": "1033858089",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1073 GREENBRIAR CIR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300334404",
"telephone_number": "501-952-2718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1073 GREENBRIAR CIR",
"city": "DECATUR",
"state": "GA",
"postal_code": "300334404",
"telephone_number": "501-952-2718"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DRAYER THERAPY LLC",
"organizational_subpart": "NO",
"enumeration_date": "2022-05-28",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A",
"authorized_official_last_name": "DRAYER",
"authorized_official_first_name": "KAILEN",
"authorized_official_title_or_position": "SINGLE MEMBER",
"authorized_official_telephone_number": "501-952-2718",
"authorized_official_credential": "OTD,OTR/L"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Decatur, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.