NPIMap

Organization Active NPI

Sierra Therapy Services, Inc.

  • Physical Therapist
  • Stone Mountain, GA
National Provider Identifier
1083643449
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT004347 Issued in GA
Legal business name
SIERRA THERAPY SERVICES, INC.
Practice address
2155 W Park CT
Suite G/ H
Stone Mountain, GA 30087-3500
Phone
(770) 465-5084
Fax
(770) 465-5304
NPI assigned
Jun 30, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Mrs. Queenston U Thorpe, MS, PTNPI 1306935655
Title
Chief Executive Officer
Phone
(770) 465-5084

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Practitioners 40

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 40

National Provider Directory

National Provider Directory

Locations

2155 W Park Ct
Ste G
Stone Mountain, GA 30087
Phone (770) 465-5084

2155 W Park Ct
Ste Gh
Stone Mtn, GA 30087
Phone (770) 465-5084

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT004347 GA Primary

Addresses

NPPES NPI Registry

Primary practice location

2155 W Park CT
Suite G/ H
Stone Mountain, GA 30087-3500

Mailing address

2155 West Park Court
Suite G/ H
Stone Mountain, GA 30087
Phone (770) 465-5084

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 22, 2020.

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1083643449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2155 WEST PARK COURT",
            "address_2": "SUITE G/ H",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "30087",
            "telephone_number": "770-465-5084",
            "fax_number": "770-465-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2155 W PARK CT",
            "address_2": "SUITE G/ H",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873500",
            "telephone_number": "770-465-5084",
            "fax_number": "770-465-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIERRA THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "THORPE",
        "authorized_official_first_name": "QUEENSTON",
        "authorized_official_middle_name": "U",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "770-465-5084",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT004347",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.