NPIMap

Organization Active NPI

Rising Stars Children'S Therapy, Inc.

  • Pediatric Occupational Therapist
  • Marietta, GA
National Provider Identifier
1215024385
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OT003784 Issued in GA
Legal business name
RISING STARS CHILDREN'S THERAPY, INC.
Practice address
3595 Canton Rd
Suite A9, #321
Marietta, GA 30066-2658
Phone
(770) 517-6357
Fax
(770) 783-1398
NPI assigned
Oct 9, 2006
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. Kristi A. Estes, OTR/LNPI 1659443083
Title
Occupational Therapist
Phone
(770) 517-6357

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 OT003784 GA Primary

Addresses

Primary practice location

3595 Canton Rd
Suite A9, #321
Marietta, GA 30066-2658

Mailing address

3595 Canton Rd
Suite A9, #321
Marietta, GA 30066-2658
Phone (770) 517-6357

Other identifiers 1

IdentifierTypeStateIssuer
965277113CMedicaidGA

National Provider Directory

National Provider Directory
Tax ID family
Rising Stars Children'S Therapy Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

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": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1215024385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3595 CANTON RD",
            "address_2": "SUITE A9, #321",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662658",
            "telephone_number": "770-517-6357",
            "fax_number": "770-783-1398"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3595 CANTON RD",
            "address_2": "SUITE A9, #321",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662658",
            "telephone_number": "770-517-6357",
            "fax_number": "770-783-1398"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING STARS CHILDREN'S THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ESTES",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "770-517-6357",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "GA",
            "license": "OT003784",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "965277113C",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, 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.