Innovative Therapy Services

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

License

SLP007594 Issued in GA

Legal business name

INNOVATIVE THERAPY SERVICES

Practice address

632 Tahoe Cir
Stone Mountain, GA 30083-4450

Phone

(301) 646-0304

NPI assigned

Mar 13, 2013

Organization subpart

No

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

Authorized official

Name

Ms. Tasha Michelle Winns, M.S. CCC-SLP

Title

Speech Pathologist

Phone

(301) 646-0304

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.

• Tasha Carter, M.S. CCC-SLP

  • Speech-Language Pathologist
  • Decatur, GA
  • NPI 1740506146
  NPD (past)

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

{
    "created_epoch": "1363132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363132800000",
    "number": "1134460363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "632 TAHOE CIR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834450",
            "telephone_number": "301-646-0304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "632 TAHOE CIR",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300834450",
            "telephone_number": "301-646-0304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNOVATIVE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-13",
        "last_updated": "2013-03-13",
        "status": "A",
        "authorized_official_last_name": "WINNS",
        "authorized_official_first_name": "TASHA",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "SPEECH  PATHOLOGIST",
        "authorized_official_telephone_number": "301-646-0304",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S. CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "GA",
            "license": "SLP007594",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Osarhieme C Igbinoba Okojie, RPH
• Christian Junior Igiede
• Nicholas Kemdi Ihenacho, MD
• Independent Physical Therapy, LLC (Benchmark PT)
• Information Resource Inc
• Inpowerment Incorporated
• Insight Therapy, PC
• Instep Podiatry, LLC
• Integrated Life Center, Inc.
• Intown Midwifery, LLC (Intown Midwifery)

• Early Intervention Provider Agency in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Early Intervention Provider Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2013; 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.