NPIMap

Organization Active NPI

Recess Limitless Play

  • Pediatric Occupational Therapist
  • Mableton, GA
National Provider Identifier
1174169940
Registry record updated Nov 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
RECESS LIMITLESS PLAY
Practice address
5908 Cobblestone Creek Cir
Mableton, GA 30126-2654
Phone
(931) 241-1159
NPI assigned
Nov 26, 2019
Organization subpart
Yes
Parent organization
RECESS PEDIATRIC THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 26, 2019

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

Authorized official

Name
Thomas Long, OTR/LNPI 1386017986
Title
Ceo
Phone
(931) 241-1159

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X Primary
Hearing and Speech Clinic/Center 261QH0700X
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

5908 Cobblestone Creek Cir
Mableton, GA 30126-2654

Mailing address

5908 Cobblestone Creek Cir
Mableton, GA 30126-2654
Phone (931) 241-1159

National Provider Directory

National Provider Directory
Part of
Recess Pediatric Therapy

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

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": "1574726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574726400000",
    "number": "1174169940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5908 COBBLESTONE CREEK CIR",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262654",
            "telephone_number": "931-241-1159"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5908 COBBLESTONE CREEK CIR",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262654",
            "telephone_number": "931-241-1159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECESS LIMITLESS PLAY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "RECESS PEDIATRIC THERAPY",
        "enumeration_date": "2019-11-26",
        "last_updated": "2019-11-26",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "931-241-1159",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QH0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Hearing and Speech",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.