NPIMap

Organization Active NPI

Lifting Spirits Therapy Services, Inc

  • Pediatric Occupational Therapist
  • Gainesville, GA
National Provider Identifier
1083891907
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT003657 Issued in GA
Legal business name
LIFTING SPIRITS THERAPY SERVICES, INC
Practice address
500 Spring St SE Ste 101
Gainesville, GA 30501-3773
Phone
(770) 615-7676
Fax
(770) 615-0177
NPI assigned
Jan 22, 2008
Last updated
Mar 31, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Authorized official

Name
Miss Yuridia Garza, MS OTR/LNPI 1295893535
Title
Occupational Therapist-Owner
Phone
(678) 908-7057

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X PT009992 GA
Pediatric Occupational Therapist 225XP0200X OT003657 GA Primary
Pediatric Occupational Therapist 225XP0200X OT006677 GA
Pediatric Occupational Therapist 225XP0200X OT005167 GA

Addresses

Primary practice location

500 Spring St SE Ste 101
Gainesville, GA 30501-3773

Mailing address

PO Box 1071
Gainesville, GA 30503-1071
Phone (678) 908-7057

Other identifiers 1

IdentifierTypeStateIssuer
141263118AMedicaidGA

National Provider Directory

National Provider Directory

Locations

427 Spring St SE
Gainesville, GA 30501
Phone (770) 534-5510

500 Spring St SE
Ste 101
Gainesville, GA 30501
Phone (770) 605-4413

Practitioners & affiliated clinicians

Practitioners 30

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.

View all 30

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490918400000",
    "number": "1083891907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1071",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305031071",
            "telephone_number": "678-908-7057",
            "fax_number": "770-536-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SPRING ST SE STE 101",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013773",
            "telephone_number": "770-615-7676",
            "fax_number": "770-615-0177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFTING SPIRITS THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2017-03-31",
        "status": "A",
        "authorized_official_last_name": "GARZA",
        "authorized_official_first_name": "YURIDIA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST-OWNER",
        "authorized_official_telephone_number": "678-908-7057",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS OTR/L"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT009992",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT003657",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT006677",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT005167",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "141263118A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gainesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.