Organization Active NPI

Pediatric Hand and Upper Extremity Rehabilitation

  • Home Health Agency
  • Dacula, GA
National Provider Identifier
1154521870
Registry record updated Aug 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
OT003068 Issued in GA
Legal business name
PEDIATRIC HAND AND UPPER EXTREMITY REHABILITATION
Practice address
2534 Allsborough Way
Dacula, GA 30019-8517
Phone
(770) 241-3483
NPI assigned
Jul 20, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2014

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

Authorized official

Name
Dr. Jean Juliet Steffe, OTD, CHT
Title
Manager
Phone
(770) 241-3483

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X OT003068 GA Primary

Addresses

Primary practice location

2534 Allsborough Way
Dacula, GA 30019-8517

Mailing address

2534 Allsborough Way
Dacula, GA 30019-8517
Phone (770) 241-3483

Other identifiers 1

IdentifierTypeStateIssuer
330681270AMedicaidGA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1184889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408320000000",
    "number": "1154521870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2534 ALLSBOROUGH WAY",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300198517",
            "telephone_number": "770-241-3483"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2534 ALLSBOROUGH WAY",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300198517",
            "telephone_number": "770-241-3483"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC HAND AND UPPER EXTREMITY REHABILITATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-20",
        "last_updated": "2014-08-18",
        "status": "A",
        "authorized_official_last_name": "STEFFE",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "JULIET",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "770-241-3483",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "OTD, CHT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "OT003068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "330681270A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2014; 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.