Active NPI
Therapy for All, Inc
- Occupational Therapist
- Cleveland, GA
National Provider Identifier
1083193932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT003487
- Legal business name
- THERAPY FOR ALL, INC
- Practice address
- 329 Teel Mountain Dr
Cleveland, GA 30528-0710 - Phone
- (706) 201-9661
- NPI assigned
- Aug 11, 2018
- Last updated
- Aug 11, 2018
- 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
- Julie Goodman
- Title
- Owner
- Phone
- (706) 201-9661
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT003487 | GA | Primary |
| Speech-Language Pathologist | 235Z00000X | GA |
Addresses
Primary practice location
329 Teel Mountain Dr
Cleveland, GA 30528-0710
Mailing address
329 Teel Mountain Dr
Cleveland, GA 30528-0710
Phone (706) 201-9661
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 410952105A | Medicaid | GA |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Occupational Therapist
- Cleveland, GA
- NPI 1609935543
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533945600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533945600000",
"number": "1083193932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "329 TEEL MOUNTAIN DR",
"city": "CLEVELAND",
"state": "GA",
"postal_code": "305280710",
"telephone_number": "706-201-9661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "329 TEEL MOUNTAIN DR",
"city": "CLEVELAND",
"state": "GA",
"postal_code": "305280710",
"telephone_number": "706-201-9661"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPY FOR ALL, INC",
"organizational_subpart": "NO",
"enumeration_date": "2018-08-11",
"last_updated": "2018-08-11",
"status": "A",
"authorized_official_last_name": "GOODMAN",
"authorized_official_first_name": "JULIE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "706-201-9661"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "OT003487",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "GA",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "410952105A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.