Organization Active NPI

Empowered Foundations Therapy LLC

  • Rehabilitation Clinic/Center
  • Savannah, GA
National Provider Identifier
1205547874
Registry record updated Dec 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
EMPOWERED FOUNDATIONS THERAPY LLC
Practice address
815 E 66TH St
Savannah, GA 31405-4507
Phone
(804) 502-1890
NPI assigned
Dec 5, 2022
Last updated
Dec 5, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2022

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

Authorized official

Name
Mrs. Tiana Maria Wood, OTR/L, LMTNPI 1396164976
Title
Member
Phone
(804) 502-1890

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
Rehabilitation Clinic/Center 261QR0400X NU Primary

Addresses

Primary practice location

815 E 66TH St
Savannah, GA 31405-4507

Mailing address

114 Creekside Blvd
Guyton, GA 31312-6644
Phone (804) 502-1890

National Provider Directory

National Provider Directory

Locations

815 E 66th St
Savannah, GA 31405
Phone (804) 502-1890

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1670198400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670198400000",
    "number": "1205547874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "114 CREEKSIDE BLVD",
            "city": "GUYTON",
            "state": "GA",
            "postal_code": "313126644",
            "telephone_number": "804-502-1890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 E 66TH ST",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314054507",
            "telephone_number": "804-502-1890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMPOWERED FOUNDATIONS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-05",
        "last_updated": "2022-12-05",
        "certification_date": "2022-12-03",
        "status": "A",
        "authorized_official_last_name": "WOOD",
        "authorized_official_first_name": "TIANA",
        "authorized_official_middle_name": "MARIA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "804-502-1890",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L, LMT"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Savannah, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2022; 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.