Organization Active NPI

Touch of Therapy Health and Wellness Services, LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Mableton, GA
National Provider Identifier
1235211996
Registry record updated Jun 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
TOUCH OF THERAPY HEALTH AND WELLNESS SERVICES, LLC
Doing business as
Touch of Therapy
Practice address
1228 Wandering Vine CT SE
Mableton, GA 30126-5639
Phone
(678) 685-1386
Fax
(678) 601-1341
NPI assigned
Oct 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2022

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

Authorized official

Name
Prof. Miranda White, DPTNPI 1386744233
Title
Ceo
Phone
(404) 246-3638

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 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Pediatric Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 2251P0200X PT4564 GA
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

1228 Wandering Vine CT SE
Mableton, GA 30126-5639

Mailing address

1228 Wandering Vine CT SE
Mableton, GA 30126-5639
Phone (678) 685-1386

Other practice location 1

100 Hamilton Pointe Dr Ste 105
Byron, GA 31008-6271
Phone (478) 845-3520

Other practice location 2

4671 Mercer University Dr
Macon, GA 31210-5611
Phone (478) 835-3520

Other identifiers 1

IdentifierTypeStateIssuer
618882941AMedicaidGA

Other names 1

  • Touch of Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

1311 Fulton Industrial Blvd NW
Bldg A
Atlanta, GA 30336
Phone (678) 649-2131

100 Hamilton Pointe Dr
Ste 105
Byron, GA 31008
Phone (478) 845-3520

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": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655251200000",
    "number": "1235211996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1228 WANDERING VINE CT SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265639",
            "telephone_number": "678-685-1386",
            "fax_number": "678-601-1341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1228 WANDERING VINE CT SE",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301265639",
            "telephone_number": "678-685-1386",
            "fax_number": "678-601-1341"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Hamilton Pointe Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Byron",
            "state": "GA",
            "postal_code": "310086271",
            "country_code": "US",
            "telephone_number": "478-845-3520",
            "fax_number": "478-956-0958",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4671 Mercer University Dr",
            "address_purpose": "LOCATION",
            "city": "Macon",
            "state": "GA",
            "postal_code": "312105611",
            "country_code": "US",
            "telephone_number": "478-835-3520",
            "fax_number": "478-621-7233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TOUCH OF THERAPY HEALTH AND WELLNESS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2022-06-15",
        "certification_date": "2022-06-15",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "MIRANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-246-3638",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "GA",
            "license": "PT4564",
            "primary": false
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "618882941A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Touch of Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 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.