Organization Active NPI

Momentum Therapy Associates, L.L.C.

  • Occupational Therapist
  • Atlanta, GA
National Provider Identifier
1215190368
Registry record updated Jul 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT004293 Issued in GA
Legal business name
MOMENTUM THERAPY ASSOCIATES, L.L.C.
Practice address
4520 Creekside CV
Atlanta, GA 30349-3957
Phone
(251) 379-2233
NPI assigned
Jul 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2008

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

Authorized official

Name
Corey Whigham, OTR/CNPI 1063624682
Title
Occupational Therapist/President
Phone
(251) 379-2233

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
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OT004293 GA Primary

Addresses

Primary practice location

4520 Creekside CV
Atlanta, GA 30349-3957

Mailing address

4520 Creekside CV
Atlanta, GA 30349-3957
Phone (251) 379-2233

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": "1215561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215561600000",
    "number": "1215190368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4520 CREEKSIDE CV",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303493957",
            "telephone_number": "251-379-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4520 CREEKSIDE CV",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303493957",
            "telephone_number": "251-379-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMENTUM THERAPY ASSOCIATES, L.L.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-09",
        "last_updated": "2008-07-09",
        "status": "A",
        "authorized_official_last_name": "WHIGHAM",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST/PRESIDENT",
        "authorized_official_telephone_number": "251-379-2233",
        "authorized_official_credential": "OTR/C"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT004293",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2008; 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.