NPIMap

Organization Active NPI

Movin & Groovin Children'S Therapy Services, Inc.

  • Pediatric Physical Therapist
  • Atlanta, GA
National Provider Identifier
1154535508
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
MOVIN & GROOVIN CHILDREN'S THERAPY SERVICES, INC.
Practice address
17 Interlochen Dr NE
Atlanta, GA 30342-3701
Phone
(404) 918-1828
Fax
(404) 459-8948
NPI assigned
May 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Valerie H. Squillario, PTNPI 1093902843
Title
Ceo
Phone
(404) 918-1828

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)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251P0200X Primary

Addresses

Primary practice location

17 Interlochen Dr NE
Atlanta, GA 30342-3701

Mailing address

17 Interlochen Dr NE
Atlanta, GA 30342-3701
Phone (404) 918-1828

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1154535508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 INTERLOCHEN DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423701",
            "telephone_number": "404-918-1828",
            "fax_number": "404-459-8948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17 INTERLOCHEN DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303423701",
            "telephone_number": "404-918-1828",
            "fax_number": "404-459-8948"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOVIN & GROOVIN CHILDREN'S THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SQUILLARIO",
        "authorized_official_first_name": "VALERIE",
        "authorized_official_middle_name": "H.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-918-1828",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.