McKenna Farms Therapy Services

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT004432 Issued in GA

Legal business name

MCKENNA FARMS THERAPY SERVICES

Practice address

3044 Due West Rd
Dallas, GA 30157-2125

Phone

(770) 443-9672

Fax

(770) 505-3595

NPI assigned

Sep 24, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Cheryl Ziegler

Title

Billing Administrator

Phone

(770) 432-8996

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1190592000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190592000000",
    "number": "1073709002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3044 DUE WEST RD",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301572125",
            "telephone_number": "770-443-9672",
            "fax_number": "770-505-3595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3044 DUE WEST RD",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301572125",
            "telephone_number": "770-443-9672",
            "fax_number": "770-505-3595"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCKENNA FARMS THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-24",
        "last_updated": "2007-09-24",
        "status": "A",
        "authorized_official_last_name": "ZIEGLER",
        "authorized_official_first_name": "CHERYL",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "770-432-8996",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT004432",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marie McDonald
• Allison Elizabeth McElwee
• Lisa Nicole McEntire, L.M.T
• Robert Charles McFarland, PT, MPT
• Elizabeth Anne McGuire
• McKenna Farms Therapy Services Inc
• Tannishea Veronica McKoy
• Tiffany McKoy
• Katie Meade, LPC
• Taylor Mease, BCBA

• Pediatric Occupational Therapist in Dallas, GA
• Providers in Dallas, GA by specialty
• Pediatric Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; 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.