Active NPI
Special Settings Pediatric Therapy, Inc.
- Pediatric Physical Therapist
- Chamblee, GA
National Provider Identifier
1194870477
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT006588
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 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 DirectoryPractitioners & 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.