Active NPI
Let'S Roll Pediatric Therapy, LLC
- Pediatric Physical Therapist
- Cartersville, GA
National Provider Identifier
1265025837
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- Legal business name
- LET'S ROLL PEDIATRIC THERAPY, LLC
- Practice address
- 20 Pointe North Dr Ste 109
Cartersville, GA 30120-7955 - Phone
- (678) 831-2866
- NPI assigned
- Feb 15, 2021
- 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
- Crystal Sumner, PT
- Title
- PT/Owner
- Phone
- (770) 324-8560
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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | Primary | ||
| Pediatric Occupational Therapist | 225XP0200X | |||
| Speech-Language Pathologist | 235Z00000X |
Addresses
Primary practice location
20 Pointe North Dr Ste 109
Cartersville, GA 30120-7955
Mailing address
1267 Oak Grove Rd SW
Calhoun, GA 30701-3251
Phone (770) 324-8560
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": "1613347200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1614556800000",
"number": "1265025837",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1267 OAK GROVE RD SW",
"city": "CALHOUN",
"state": "GA",
"postal_code": "307013251",
"telephone_number": "770-324-8560"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 POINTE NORTH DR STE 109",
"city": "CARTERSVILLE",
"state": "GA",
"postal_code": "301207955",
"telephone_number": "678-831-2866"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LET'S ROLL PEDIATRIC THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-02-15",
"last_updated": "2021-03-01",
"certification_date": "2021-03-01",
"status": "A",
"authorized_official_last_name": "SUMNER",
"authorized_official_first_name": "CRYSTAL",
"authorized_official_title_or_position": "PT/OWNER",
"authorized_official_telephone_number": "770-324-8560",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist, Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "225XP0200X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist, Pediatrics",
"state": null,
"license": null,
"primary": false
},
{
"code": "235Z00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cartersville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.