Active NPI
Karen S. White
Doing business as dynamic therapy services
- Occupational Therapist
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 003993
- Legal business name
- KAREN S. WHITE
- Doing business as
- dynamic therapy services
- Practice address
- 3193 Holly Mill Run
Marietta, GA 30062-5480 - Phone
- (770) 653-3077
- Fax
- (770) 509-1321
- NPI assigned
- Nov 21, 2006
- Last updated
- Jul 28, 2008
- 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
- Karen White, OTR L
- Title
- Owner
- Phone
- (770) 653-3077
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 003993 | GA | Primary |
Addresses
Primary practice location
3193 Holly Mill Run
Marietta, GA 30062-5480
Mailing address
3193 Holly Mill Run
Marietta, GA 30062-5480
Phone (770) 653-3077
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 506446488A | Medicaid | GA |
Other names 1
- dynamic therapy services
National Provider Directory
National Provider Directory- Tax ID family
- Dynamic Therapy Services
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
Practitioners & affiliated clinicians
Practitioners 3
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
- Marietta, GA
- NPI 1124192935
-
- Occupational Therapist
- Marietta, GA
- NPI 1508922360
-
- Occupational Therapist
- Marietta, GA
- NPI 1528284999
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164067200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1217203200000",
"number": "1114092426",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3193 HOLLY MILL RUN",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300625480",
"telephone_number": "770-653-3077",
"fax_number": "770-509-1321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3193 HOLLY MILL RUN",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300625480",
"telephone_number": "770-653-3077",
"fax_number": "770-509-1321"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KAREN S. WHITE",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-21",
"last_updated": "2008-07-28",
"status": "A",
"authorized_official_last_name": "WHITE",
"authorized_official_first_name": "KAREN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-653-3077",
"authorized_official_credential": "OTR L"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "GA",
"license": "003993",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "506446488A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "dynamic therapy services",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.