NPIMap

Organization Active NPI

Children'S 1St Rehabilitation Center, Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Stockbridge, GA
National Provider Identifier
1265046346
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X
Legal business name
CHILDREN'S 1ST REHABILITATION CENTER, INC
Practice address
239 Village Center Pkwy Ste 190
Stockbridge, GA 30281-9024
Phone
(404) 723-5583
NPI assigned
Sep 4, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2020

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

Authorized official

Name
Dr. Denise Holloway, DPT, PHD
Title
President/Ceo
Phone
(404) 723-5583

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Comprehensive Outpatient Rehabilitation Facility (CORF) 261QR0401X Primary

Addresses

Primary practice location

239 Village Center Pkwy Ste 190
Stockbridge, GA 30281-9024

Mailing address

445 Young James Cir
Stockbridge, GA 30281-1475
Phone (404) 723-5583

National Provider Directory

National Provider Directory

Locations

239 Village Center Pkwy
Ste 190
Stockbridge, GA 30281
Phone (770) 628-1500

Practitioners & affiliated clinicians

Practitioners 9

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": "1599177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1599177600000",
    "number": "1265046346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "445 YOUNG JAMES CIR",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302811475",
            "telephone_number": "404-723-5583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 VILLAGE CENTER PKWY STE 190",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302819024",
            "telephone_number": "404-723-5583"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S 1ST REHABILITATION CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "DENISE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "404-723-5583",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT, PHD"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.