NPIMap

Organization Active NPI

Simplicity Therapy Group Inc

  • Speech-Language Pathologist
  • Canton, GA
National Provider Identifier
1134749336
Registry record updated Jul 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
SIMPLICITY THERAPY GROUP INC
Practice address
115 Academy St Ste 102
Canton, GA 30114-3008
Phone
(404) 444-1521
Fax
(404) 689-4209
NPI assigned
Apr 17, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2026

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

Authorized official

Name
Alec Michael Martino
Title
Manager
Phone
(404) 897-8960

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

115 Academy St Ste 102
Canton, GA 30114-3008

Mailing address

PO Box 1901
Roswell, GA 30077-1901
Phone (404) 897-8960

Other practice location 1

555 Colonial Park Dr Ste 100
Roswell, GA 30075-3766
Phone (404) 444-1521

Other identifiers 2

IdentifierTypeStateIssuer
003204647CMedicaidGA
003333765AMedicaidGA

Other names 1

  • Simplicity Pediatric Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

115 Academy St
Ste 102
Canton, GA 30114
Phone (404) 390-2173

Practitioners & affiliated clinicians

Practitioners 8

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

NPI Registry JSON

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

{
    "created_epoch": "1587081600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784505600000",
    "number": "1134749336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1901",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300771901",
            "telephone_number": "404-897-8960",
            "fax_number": "404-689-4209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 ACADEMY ST STE 102",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301143008",
            "telephone_number": "404-444-1521",
            "fax_number": "404-689-4209"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "555 Colonial Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Roswell",
            "state": "GA",
            "postal_code": "300753766",
            "country_code": "US",
            "telephone_number": "404-444-1521",
            "fax_number": "404-689-4209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SIMPLICITY THERAPY GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-17",
        "last_updated": "2026-07-20",
        "certification_date": "2026-07-20",
        "status": "A",
        "authorized_official_last_name": "MARTINO",
        "authorized_official_first_name": "ALEC",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "404-897-8960"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003204647C",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003333765A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Simplicity Pediatric Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2026; 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.