Organization Active NPI

Special Settings Pediatric Therapy, Inc.

  • Pediatric Physical Therapist
  • Chamblee, GA
National Provider Identifier
1194870477
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
PT006588 Issued in GA
Legal business name
SPECIAL SETTINGS PEDIATRIC THERAPY, INC.
Practice address
3672 Carmel Rd
Chamblee, GA 30341-2031
Phone
(770) 458-6732
Fax
(770) 458-6732
NPI assigned
Jan 24, 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
Mrs. Susan E D Soha, MPT
Title
Owner
Phone
(678) 591-2078

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251P0200X PT006588 GA Primary

Addresses

Primary practice location

3672 Carmel Rd
Chamblee, GA 30341-2031

Mailing address

3672 Carmel Rd
Chamblee, GA 30341-2031
Phone (770) 458-6732

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": "1169596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194870477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3672 CARMEL RD",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412031",
            "telephone_number": "770-458-6732",
            "fax_number": "770-458-6732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3672 CARMEL RD",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303412031",
            "telephone_number": "770-458-6732",
            "fax_number": "770-458-6732"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIAL SETTINGS PEDIATRIC THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SOHA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_middle_name": "E D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-591-2078",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT006588",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chamblee, 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.