Kidability, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

KIDABILITY, INC.

Practice address

2854 Mitchell PL
Decatur, GA 30032-4258

Phone

(404) 579-1699

Fax

(404) 759-2166

NPI assigned

Dec 12, 2016

Organization subpart

No

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

Authorized official

Name

Ellen M Poulsen, PTNPI 1154672970

Title

President

Phone

(404) 579-1699

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ellen M Poulsen, PT

  • Physical Therapist
  • Decatur, GA
  • NPI 1154672970
  NPD (past) Authorized official

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

{
    "created_epoch": "1481500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1522886400000",
    "number": "1124562087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2854 MITCHELL PL",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300324258",
            "telephone_number": "404-579-1699",
            "fax_number": "404-759-2166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2854 MITCHELL PL",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300324258",
            "telephone_number": "404-579-1699",
            "fax_number": "404-759-2166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDABILITY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-12",
        "last_updated": "2018-04-05",
        "status": "A",
        "authorized_official_last_name": "POULSEN",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "404-579-1699",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mohammed Ashraf Arshad Khan, M.B.B.S.
• Sofia Aman Khan, M.D
• Prem Lata Khanna, RN
• Parul Khator, M.D.
• Asma Khawaja, PMHNP-BC
• Menna Kidane
• Kidney Foodie LLC
• Kids & Teens Primary Healthcare
• Kids Speak
• Chelsea Kilgore, AUD

• Physical Therapy Clinic/Center in Decatur, GA
• Providers in Decatur, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 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.

Verify at the official NPI Registry.