Pediatric Therapy of Townelake, LLC

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

PEDIATRIC THERAPY OF TOWNELAKE, LLC

Practice address

6478 Putnam Ford Dr
Woodstock, GA 30189-6984

Phone

(678) 895-5223

NPI assigned

Sep 25, 2021

Organization subpart

No

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

Authorized official

Name

Amy Molley, OTNPI 1447432109

Title

Ceo

Phone

(678) 895-5223

Specialties & licenses 1

Addresses

Other names 2

• Sensible Sensory Spaces, LLC Doing business as
• Sensible Sensory Spaces Former legal business name

Locations

Practitioners 2

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

• Amy Molley, OT

  • Pediatric Occupational Therapist
  • Woodstock, GA
  • NPI 1447432109
  NPD Authorized official
• Katherine Rebecca Gilliam, MOT, OTR/L

  • Occupational Therapist
  • Woodstock, GA
  • NPI 1275322133
  NPD (past)

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

{
    "created_epoch": "1632528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1663372800000",
    "number": "1093486375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 WAVELAND DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301894222",
            "telephone_number": "678-895-5223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6478 PUTNAM FORD DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896984",
            "telephone_number": "678-895-5223"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1198 Buckhead Xing Ste A",
            "address_purpose": "LOCATION",
            "city": "Woodstock",
            "state": "GA",
            "postal_code": "301894293",
            "country_code": "US",
            "telephone_number": "678-895-5223",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY OF TOWNELAKE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-25",
        "last_updated": "2022-09-17",
        "certification_date": "2022-09-17",
        "status": "A",
        "authorized_official_last_name": "MOLLEY",
        "authorized_official_first_name": "AMY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-895-5223",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sensible Sensory Spaces, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Sensible Sensory Spaces",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Dione Michelle Peach
• Peachtree Orthopaedic Clinic, PA
• Melissa Pealor, DC
• Danielle Alyssa Pecora, OTR/L
• Jessica Pecora, OTR-L
• Tiffany Peeler
• Peer Solutions of Georgia, Inc.
• Lauren Marie Peet, CCC-SLP
• Karolina Anna Pelt, D.M.D.
• Taylor Pemberton, MSCMHC

• Occupational Therapist in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.