Organization Active NPI

Step by Step Therapy LLC

  • Pediatric Occupational Therapist
  • Winder, GA
National Provider Identifier
1164929337
Registry record updated Jun 16, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT006968 Issued in GA
Legal business name
STEP BY STEP THERAPY LLC
Practice address
49 Piedmont Dr Ste 104
Winder, GA 30680-8118
Phone
(678) 963-5305
Fax
(678) 963-5399
NPI assigned
Apr 12, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2018

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

Authorized official

Name
Mrs. Johanna Abadias Gonzalez, OTNPI 1144332263
Title
Owner
Phone
(678) 963-5305

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 Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X OT006968 GA Primary

Addresses

Primary practice location

49 Piedmont Dr Ste 104
Winder, GA 30680-8118

Mailing address

49 Piedmont Dr Ste 104
Winder, GA 30680-8118
Phone (678) 963-5305

Other identifiers 1

IdentifierTypeStateIssuer
003202269AMedicaidGA

Other names 1

  • Step By Step Therapy LLC Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1523491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1164929337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "49 PIEDMONT DR STE 104",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808118",
            "telephone_number": "678-963-5305",
            "fax_number": "678-963-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 PIEDMONT DR STE 104",
            "city": "WINDER",
            "state": "GA",
            "postal_code": "306808118",
            "telephone_number": "678-963-5305",
            "fax_number": "678-963-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP BY STEP THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-12",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "ABADIAS GONZALEZ",
        "authorized_official_first_name": "JOHANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-963-5305",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT006968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003202269A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Step By Step Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Step By Step Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Winder, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.